JASON ROBERT HAARTMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

NOT RENEWED

Business

First Name

JASON

Middle

ROBERT

Last Name

HAARTMAN

Business Name

JASON ROBERT HAARTMAN

Original Issue Date

03/23/2001

Effective Date

02/11/2010

Expiration Date

03/01/2012

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

04/16/2012