DAVID M JAHN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

INOPERATIVE

Business

First Name

DAVID M

Last Name

JAHN

Business Name

DAVID M JAHN

Original Issue Date

03/12/2001

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/03/2022