JACQUELINE K ORAEDU Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

INOPERATIVE

Business

First Name

JACQUELINE

Middle

Last Name

ORAEDU

Business Name

JACQUELINE K ORAEDU

Original Issue Date

08/24/2018

Effective Date

08/24/2018

Expiration Date

03/01/2020

City

MACHESNEY PARK

State

Zip

61115

Ever Disciplined

LastModifiedDate

12/18/2019