JASON THARPE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

NOT RENEWED

Business

First Name

JASON

Last Name

THARPE

Business Name

JASON THARPE

Original Issue Date

08/31/2012

Effective Date

08/31/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/29/2015