JEREMIAH CHARLES THOMPSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004050

License Status

NOT RENEWED

Business

First Name

JEREMIAH

Middle

CHARLES

Last Name

THOMPSON

Business Name

JEREMIAH CHARLES THOMPSON

Original Issue Date

07/05/2011

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

JACKSONVILLE

State

Zip

32256

Ever Disciplined

LastModifiedDate

04/25/2016