JEREMY DAVID GOOD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004264

License Status

ACTIVE

Business

First Name

JEREMY

Middle

DAVID

Last Name

GOOD

Business Name

JEREMY DAVID GOOD

Original Issue Date

12/21/2011

Effective Date

01/13/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/13/2026