JASON KENNETH MANTHEI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002364

License Status

ACTIVE

Business

First Name

JASON

Middle

KENNETH

Last Name

MANTHEI

Business Name

JASON KENNETH MANTHEI

Original Issue Date

09/30/2004

Effective Date

12/16/2025

Expiration Date

03/01/2028

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

12/16/2025