JENNIFER JOANN HEINRICH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

JOANN

Last Name

HEINRICH

Business Name

JENNIFER JOANN HEINRICH

Original Issue Date

11/10/2004

Effective Date

11/10/2004

Expiration Date

03/01/2008

City

CHICAGO

State

Zip

60639

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2006