JILLIAN ROSE KENT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

ROSE

Last Name

KENT

Business Name

JILLIAN ROSE KENT

Original Issue Date

09/24/2014

Effective Date

02/02/2016

Expiration Date

03/01/2018

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2018