JENNIFER MARIE UPHOFF Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004447

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

MARIE

Last Name

UPHOFF

Business Name

JENNIFER MARIE UPHOFF

Original Issue Date

09/13/2012

Effective Date

12/21/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61637

County

PEORIA

Ever Disciplined

LastModifiedDate

12/21/2025