MELISSA HEATHER JEFFRIES 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

MELISSA

Middle

HEATHER

Last Name

JEFFRIES

Business Name

MELISSA HEATHER JEFFRIES

Original Issue Date

01/08/2009

Effective Date

01/08/2009

Expiration Date

03/01/2010

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/28/2009