EMILY ELIZABETH JACOBS - Physician Assistant License in Wisconsin | # 38*****28

EMILY ELIZABETH JACOBS

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

INOPERATIVE

Business

N

First Name

EMILY

Middle

ELIZABETH

Last Name

JACOBS

Business Name

EMILY ELIZABETH JACOBS

Original Issue Date

10/01/2020

Effective Date

10/01/2020

Expiration Date

03/01/2022

State

WI

Ever Disciplined

N

LastModifiedDate

01/03/2022