JENNIFER JO PASSANTINO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

PASSANTINO

Business Name

JENNIFER JO PASSANTINO

Original Issue Date

12/16/2008

Effective Date

02/17/2010

Expiration Date

03/01/2012

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

08/17/2017