JACQUELYN K N TRAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

INOPERATIVE

Business

First Name

JACQUELYN

Middle

K N

Last Name

TRAN

Business Name

JACQUELYN K N TRAN

Original Issue Date

08/13/2012

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

02/26/2016