JENNIFER L GROH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

GROH

Business Name

JENNIFER L GROH

Original Issue Date

12/14/2001

Effective Date

12/14/2001

Expiration Date

03/01/2008

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2010