JASON CHRISTOPHER MATTERN PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001885

License Status

NOT RENEWED

Business

First Name

JASON

Middle

CHRISTOPHER

Last Name

MATTERN

Suffix

PA-C

Business Name

JASON CHRISTOPHER MATTERN PA-C

Original Issue Date

01/30/2003

Effective Date

01/30/2003

Expiration Date

03/01/2004

City

MAKANDA

State

Zip

62958

County

JACKSON

Ever Disciplined

LastModifiedDate

10/09/2006