JEFFREY BENJAMIN MIESSAU Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007071

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

BENJAMIN

Last Name

MIESSAU

Business Name

JEFFREY BENJAMIN MIESSAU

Original Issue Date

06/11/2019

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CARLOCK

State

Zip

61725

County

MCLEAN

Ever Disciplined

LastModifiedDate

12/03/2025