JESSICA RAE WELLS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

RAE

Last Name

WELLS

Business Name

JESSICA RAE WELLS

Original Issue Date

01/05/2012

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018