JORDAN SUMMER THOMAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008717

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

SUMMER

Last Name

THOMAS

Business Name

JORDAN SUMMER THOMAS

Original Issue Date

10/22/2021

Effective Date

01/13/2022

Expiration Date

03/01/2024

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

02/05/2025