JENELL LYNN EDDINS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003231

License Status

NOT RENEWED

Business

First Name

JENELL

Middle

LYNN

Last Name

EDDINS

Business Name

JENELL LYNN EDDINS

Original Issue Date

06/19/2008

Effective Date

01/18/2022

Expiration Date

03/01/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

02/05/2025