JENIFER DARLENE VAN DE POL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001516

License Status

NOT RENEWED

Business

First Name

JENIFER

Middle

DARLENE

Last Name

VAN DE POL

Business Name

JENIFER DARLENE VAN DE POL

Original Issue Date

12/11/2000

Effective Date

12/11/2000

Expiration Date

03/01/2004

City

IOWA CITY

State

Zip

52245

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006