TEMPEST EBONEY JAMISON

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****83

ACTIVE

N

TEMPEST

EBONEY

JAMISON

TEMPEST EBONEY JAMISON

08/29/2023

01/08/2026

03/01/2028

ELGIN

IL

60120

KANE

III IV V

N

01/08/2026