JANA KATHLEEN RAY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

NOT RENEWED

Business

First Name

JANA

Middle

KATHLEEN

Last Name

RAY

Business Name

JANA KATHLEEN RAY

Original Issue Date

10/05/2019

Effective Date

10/05/2019

Expiration Date

03/01/2022

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022