JACY NUNEZ Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

INOPERATIVE

Business

First Name

JACY

Last Name

NUNEZ

Business Name

JACY NUNEZ

Original Issue Date

02/16/2018

Effective Date

01/24/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022