JENNIFER RICHMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

NOT RENEWED

Business

First Name

JENNIFER

Last Name

RICHMAN

Business Name

JENNIFER RICHMAN

Original Issue Date

12/04/2019

Effective Date

12/04/2019

Expiration Date

03/01/2022

City

NEW LENOX

State

Zip

60451

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022