JEFFREY AUSTIN BELL Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

INACTIVE

Business

First Name

JEFFREY

Middle

AUSTIN

Last Name

BELL

Business Name

JEFFREY AUSTIN BELL

Original Issue Date

08/30/2012

Effective Date

01/22/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60646

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/03/2022