JESSICA E RODRIGUEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

RODRIGUEZ

Business Name

JESSICA E RODRIGUEZ

Original Issue Date

04/01/2013

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

NEW LENOX

State

Zip

60451

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020