Jason Theodore
ExpiredIllinois license 085009460
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085009460
- Status
- Expired (Not Renewed)
- First issued
- December 17, 2022
- Expired
- March 1, 2024
- License holder
- Jason Theodore
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 12/17/2022
Contact
Winston Salem, NC 27103