JENNIFER MARY JOSEPH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARY

Last Name

JOSEPH

Business Name

JENNIFER MARY JOSEPH

Original Issue Date

03/16/2001

Effective Date

03/16/2001

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006