JILL R SPECA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

SPECA

Business Name

JILL R SPECA

Original Issue Date

10/25/2007

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2018