MAHIMA JAIN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

INOPERATIVE

Business

First Name

MAHIMA

Last Name

JAIN

Business Name

MAHIMA JAIN

Original Issue Date

10/07/2004

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

07/01/2014