JEREMY BLAUSER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

NOT RENEWED

Business

First Name

JEREMY

Last Name

BLAUSER

Business Name

JEREMY BLAUSER

Original Issue Date

05/04/2020

Effective Date

05/04/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60622

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022