JENNIFER RAE SUNDERLAND Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003210

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

RAE

Last Name

SUNDERLAND

Business Name

JENNIFER RAE SUNDERLAND

Original Issue Date

04/22/2008

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

01/26/2026