JESSICA F ZELLWEGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

ZELLWEGER

Business Name

JESSICA F ZELLWEGER

Original Issue Date

06/07/2004

Effective Date

06/07/2004

Expiration Date

03/01/2008

City

MILFORD

State

Zip

60953

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/26/2006