JAMIE LYNN TICGELAOR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001741

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

LYNN

Last Name

TICGELAOR

Business Name

JAMIE LYNN TICGELAOR

Original Issue Date

12/19/2001

Effective Date

12/19/2001

Expiration Date

03/01/2004

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/06/2025