JENNIFER LYN ROSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYN

Last Name

ROSE

Business Name

JENNIFER LYN ROSE

Original Issue Date

03/13/2002

Effective Date

03/13/2002

Expiration Date

03/01/2006

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006