JARED LUKE THATCHER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004038

License Status

ACTIVE

Business

First Name

JARED

Middle

LUKE

Last Name

THATCHER

Business Name

JARED LUKE THATCHER

Original Issue Date

06/02/2011

Effective Date

04/25/2024

Expiration Date

03/01/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/03/2025