JENNIFER ROSE KING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007883

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

ROSE

Last Name

KING

Business Name

JENNIFER ROSE KING

Original Issue Date

08/13/2020

Effective Date

01/13/2022

Expiration Date

03/01/2024

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/05/2025