JILL E NELSON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

INOPERATIVE

Business

First Name

JILL

Middle

Last Name

NELSON

Business Name

JILL E NELSON

Original Issue Date

04/21/2014

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2018