JACLYN LEE MIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

ACTIVE

Business

First Name

JACLYN

Middle

LEE

Last Name

MIS

Business Name

JACLYN LEE MIS

Original Issue Date

11/22/2011

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

TINLEY PARK

State

Zip

60487

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2026