JACOB BAYLEY SHOLL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010703

License Status

ACTIVE

Business

First Name

JACOB

Middle

BAYLEY

Last Name

SHOLL

Business Name

JACOB BAYLEY SHOLL

Original Issue Date

08/29/2024

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62704

Ever Disciplined

LastModifiedDate

02/04/2026