JADE LYAL BANNING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

NOT RENEWED

Business

First Name

JADE

Middle

LYAL

Last Name

BANNING

Business Name

JADE LYAL BANNING

Original Issue Date

04/11/2013

Effective Date

02/04/2014

Expiration Date

03/01/2016

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

01/19/2017