JESSICA LAUREN BOUDREAUX-MILLIGAN - Physician Assistant License in Missouri | # 085003422

JESSICA LAUREN BOUDREAUX-MILLIGAN

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003422

License Status

INACTIVE

Business

N

First Name

JESSICA

Middle

LAUREN

Last Name

BOUDREAUX-MILLIGAN

Business Name

JESSICA LAUREN BOUDREAUX-MILLIGAN

Original Issue Date

01/30/2009

Effective Date

01/30/2009

Expiration Date

03/01/2010

State

MO

Ever Disciplined

N

LastModifiedDate

01/05/2010