JENNIFER ELAINE BORGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ELAINE

Last Name

BORGER

Business Name

JENNIFER ELAINE BORGER

Original Issue Date

06/03/2004

Effective Date

06/03/2004

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006