JESSICA WAITE-MARIN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

INOPERATIVE

Business

First Name

JESSICA

Last Name

WAITE-MARIN

Business Name

JESSICA WAITE-MARIN

Original Issue Date

10/04/2012

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018