JESSICA DIANE BLAIR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006423

License Status

ACTIVE

Business

First Name

JESSICA

Middle

DIANE

Last Name

BLAIR

Business Name

JESSICA DIANE BLAIR

Original Issue Date

10/25/2017

Effective Date

02/26/2026

Expiration Date

03/01/2028

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

02/26/2026