JASON DAVID SHAVER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003699

License Status

INACTIVE

Business

First Name

JASON

Middle

DAVID

Last Name

SHAVER

Business Name

JASON DAVID SHAVER

Original Issue Date

02/16/2010

Effective Date

02/25/2014

Expiration Date

03/01/2016

City

HOOPESTON

State

Zip

60942

County

VERMILION

Ever Disciplined

LastModifiedDate

03/17/2016