JEANNE M YEAGLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002033

License Status

NOT RENEWED

Business

First Name

JEANNE

Middle

Last Name

YEAGLE

Business Name

JEANNE M YEAGLE

Original Issue Date

07/25/2003

Effective Date

07/25/2003

Expiration Date

03/01/2006

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/27/2007