JULIE ANN JENKOT Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

INOPERATIVE

Business

First Name

JULIE

Middle

ANN

Last Name

JENKOT

Business Name

JULIE ANN JENKOT

Original Issue Date

03/13/2020

Effective Date

04/01/2020

Expiration Date

03/01/2022

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

01/03/2022