YESENIA BORESOFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

NOT RENEWED

Business

First Name

YESENIA

Last Name

BORESOFF

Business Name

YESENIA BORESOFF

Original Issue Date

11/10/2009

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012