JON DAVID ALLISON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001423

License Status

NOT RENEWED

Business

First Name

JON

Middle

DAVID

Last Name

ALLISON

Business Name

JON DAVID ALLISON

Original Issue Date

08/25/2000

Effective Date

08/25/2000

Expiration Date

03/01/2006

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006