JANE M MOONEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000414

License Status

NOT RENEWED

Business

First Name

JANE M

Last Name

MOONEY

Business Name

JANE M MOONEY

Original Issue Date

08/10/1990

Effective Date

08/10/1990

Expiration Date

03/01/1996

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

09/26/2006