ABBY JO CLEMENS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

INOPERATIVE

Business

First Name

ABBY

Middle

Last Name

CLEMENS

Business Name

ABBY JO CLEMENS

Original Issue Date

09/30/2009

Effective Date

02/14/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

02/14/2014