MARY JEAN R LI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002274

License Status

ACTIVE

Business

First Name

MARY

Middle

JEAN R

Last Name

Business Name

MARY JEAN R LI

Original Issue Date

07/30/2004

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/23/2026