JESSICA ERIN GROSS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

INOPERATIVE

Business

First Name

JESSICA

Middle

ERIN

Last Name

GROSS

Business Name

JESSICA ERIN GROSS

Original Issue Date

11/19/2020

Effective Date

11/30/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022