ANA MARIA JIMENEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

NOT RENEWED

Business

First Name

ANA

Middle

MARIA

Last Name

JIMENEZ

Business Name

ANA MARIA JIMENEZ

Original Issue Date

08/14/2009

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

OAKBROOK TERRACE

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/18/2016