JILL L DAVIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002554

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

DAVIS

Business Name

JILL L DAVIS

Original Issue Date

09/01/2005

Effective Date

02/02/2016

Expiration Date

03/01/2018

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

05/10/2018