KARI L JEFFERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003483

License Status

NOT RENEWED

Business

First Name

KARI

Middle

Last Name

JEFFERSON

Business Name

KARI L JEFFERSON

Original Issue Date

06/29/2009

Effective Date

02/25/2010

Expiration Date

03/01/2012

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/11/2012