JACQUELINE YEN LAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

YEN

Last Name

LAM

Business Name

JACQUELINE YEN LAM

Original Issue Date

01/16/2018

Effective Date

01/18/2022

Expiration Date

03/01/2024

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025