RYAN JORDAN MINIER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007716

License Status

ACTIVE

Business

First Name

RYAN

Middle

JORDAN

Last Name

MINIER

Business Name

RYAN JORDAN MINIER

Original Issue Date

06/08/2020

Effective Date

12/19/2023

Expiration Date

03/01/2026

City

CHAMPAIGN

State

Zip

61820

Ever Disciplined

LastModifiedDate

12/03/2025