JILLIAN MEANEY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

INOPERATIVE

Business

First Name

JILLIAN

Last Name

MEANEY

Business Name

JILLIAN MEANEY

Original Issue Date

07/13/2019

Effective Date

07/19/2022

Expiration Date

03/01/2024

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023