JENNIFER DEGUZMAN TOMELDEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003539

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

DEGUZMAN

Last Name

TOMELDEN

Business Name

JENNIFER DEGUZMAN TOMELDEN

Original Issue Date

08/13/2009

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/27/2022