JEAN M BORN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

Last Name

BORN

Business Name

JEAN M BORN

Original Issue Date

08/12/2009

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

04/08/2014