JACOB S BABINEC Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

INOPERATIVE

Business

First Name

JACOB

Middle

Last Name

BABINEC

Business Name

JACOB S BABINEC

Original Issue Date

10/23/2019

Effective Date

02/05/2020

Expiration Date

03/01/2022

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022