JEFFREY ROBERT KIRSCH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

ROBERT

Last Name

KIRSCH

Business Name

JEFFREY ROBERT KIRSCH

Original Issue Date

04/13/2001

Effective Date

01/09/2012

Expiration Date

03/01/2014

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014