JACEY R HOWARD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

INOPERATIVE

Business

First Name

JACEY

Middle

Last Name

HOWARD

Business Name

JACEY R HOWARD

Original Issue Date

08/30/2010

Effective Date

03/14/2012

Expiration Date

03/01/2014

City

SCHILLER PARK

State

Zip

60176

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2014