JEANNE STEWART Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

NOT RENEWED

Business

First Name

JEANNE

Last Name

STEWART

Business Name

JEANNE STEWART

Original Issue Date

10/28/2022

Effective Date

10/28/2022

Expiration Date

03/01/2024

City

ROCKFORD

State

Zip

61104

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025