JARED LUKE ANDERSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

INOPERATIVE

Business

First Name

JARED

Middle

LUKE

Last Name

ANDERSON

Business Name

JARED LUKE ANDERSON

Original Issue Date

09/22/2015

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2018