JENEAL M DUFF Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

INOPERATIVE

Business

First Name

JENEAL

Middle

Last Name

DUFF

Business Name

JENEAL M DUFF

Original Issue Date

06/11/2019

Effective Date

01/11/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023