JENNA MARIE LOCAPUTO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

NOT RENEWED

Business

First Name

JENNA

Middle

MARIE

Last Name

LOCAPUTO

Business Name

JENNA MARIE LOCAPUTO

Original Issue Date

10/01/2014

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018