JENNIFER T KNUDSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

KNUDSON

Business Name

JENNIFER T KNUDSON

Original Issue Date

12/10/2007

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012