Jacqueline Ann Coffman

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085003642

Status

Active

First issued

October 13, 2009

Expires

March 1, 2028

License holder

Jacqueline Ann Coffman

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/13/2026

Ever disciplined

Yes

Discipline case

2024008705

Discipline action

Suspension

Discipline reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/31/2024.

Discipline dates

12/02/2024 to 12/24/2024

Other Illinois licenses under this name

• IL
  Jacqueline Ann Coffman

  License 38*****86

  Physician Assistant Controlled Substance
  Active

  Arthur, IL

  Expires Mar 1, 2028

Contact