JEANNINE R SUAREZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

NOT RENEWED

Business

First Name

JEANNINE

Middle

Last Name

SUAREZ

Business Name

JEANNINE R SUAREZ

Original Issue Date

11/09/2004

Effective Date

02/14/2014

Expiration Date

03/01/2016

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/07/2016