JESSICA F ZELLWEGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002221

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

ZELLWEGER

Business Name

JESSICA F ZELLWEGER

Original Issue Date

03/05/2004

Effective Date

03/05/2004

Expiration Date

03/01/2008

City

MILFORD

State

Zip

60953

County

IROQUOIS

Ever Disciplined

LastModifiedDate

04/23/2008