JENNIFER L STOREY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

STOREY

Business Name

JENNIFER L STOREY

Original Issue Date

01/15/2013

Effective Date

01/15/2013

Expiration Date

03/01/2014

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

04/08/2014