BLAKE L JESKA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

NOT RENEWED

Business

First Name

BLAKE

Middle

Last Name

JESKA

Business Name

BLAKE L JESKA

Original Issue Date

04/08/2015

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018