JATAME RAE CARDEN

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****56

ACTIVE

N

JATAME

RAE

CARDEN

JATAME RAE CARDEN

09/30/2016

01/17/2026

03/01/2028

CHICAGO

IL

60614

COOK

II III IV V

N

01/17/2026