JACQUELINE ANN COFFMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003642

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

ANN

Last Name

COFFMAN

Business Name

JACQUELINE ANN COFFMAN

Original Issue Date

10/13/2009

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Ever Disciplined

LastModifiedDate

02/13/2026

Case Number

2024008705

Action

Suspension

Discipline Start Date

12/02/2024

Discipline End Date

12/24/2024

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 12/31/2024.