JEANNE R COVENTRY PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001264

License Status

NOT RENEWED

Business

First Name

JEANNE

Middle

Last Name

COVENTRY

Suffix

PA-C

Business Name

JEANNE R COVENTRY PA-C

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/01/2002

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/09/2006