AGNES FILDES JENNINGS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000108

License Status

NOT RENEWED

Business

First Name

AGNES FILDES

Last Name

JENNINGS

Business Name

AGNES FILDES JENNINGS

Original Issue Date

01/26/1981

Effective Date

01/26/1981

Expiration Date

01/26/1983

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

09/26/2006