KAAMILYA TENISHA JAMES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

NOT RENEWED

Business

First Name

KAAMILYA

Middle

TENISHA

Last Name

JAMES

Business Name

KAAMILYA TENISHA JAMES

Original Issue Date

07/25/2006

Effective Date

02/25/2020

Expiration Date

03/01/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022