JENNIFER LYNN TWEDT WEIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002509

License Status

NOT RENEWED

Business

First Name

JENNIFER LYNN

Middle

TWEDT

Last Name

WEIS

Business Name

JENNIFER LYNN TWEDT WEIS

Original Issue Date

07/22/2005

Effective Date

07/22/2005

Expiration Date

03/01/2008

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/23/2008