JEFFREY LLOYD ALCORN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001854

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

LLOYD

Last Name

ALCORN

Business Name

JEFFREY LLOYD ALCORN

Original Issue Date

08/26/2002

Effective Date

08/26/2002

Expiration Date

03/01/2004

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006