JEFFREY WILLIAM LEWIS DENT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

NOT RENEWED

Business

First Name

JEFFREY WILLIAM

Middle

LEWIS

Last Name

DENT

Business Name

JEFFREY WILLIAM LEWIS DENT

Original Issue Date

04/22/2003

Effective Date

04/22/2003

Expiration Date

03/01/2004

City

DES PLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006