JENNIFER M GALL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

GALL

Business Name

JENNIFER M GALL

Original Issue Date

11/06/2013

Effective Date

01/13/2022

Expiration Date

03/01/2024

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025