JENNIFER L WAITE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

INOPERATIVE

Business

First Name

JENNIFER

Middle

Last Name

WAITE

Business Name

JENNIFER L WAITE

Original Issue Date

05/09/2014

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019