JACQUELINE ROSE ZDON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

INOPERATIVE

Business

First Name

JACQUELINE

Middle

ROSE

Last Name

ZDON

Business Name

JACQUELINE ROSE ZDON

Original Issue Date

09/16/2011

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019