KELLY ELIZABETH JERNIGAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006474

License Status

ACTIVE

Business

First Name

KELLY

Middle

ELIZABETH

Last Name

JERNIGAN

Business Name

KELLY ELIZABETH JERNIGAN

Original Issue Date

12/29/2017

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

SAN DIEGO

State

Zip

92123

Ever Disciplined

LastModifiedDate

12/09/2025