JENNIFER CHRISTINE ZIEREN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002166

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

CHRISTINE

Last Name

ZIEREN

Business Name

JENNIFER CHRISTINE ZIEREN

Original Issue Date

10/30/2003

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/27/2010