JAMIE ANNE GAROFALO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

ACTIVE

Business

First Name

JAMIE

Middle

ANNE

Last Name

GAROFALO

Business Name

JAMIE ANNE GAROFALO

Original Issue Date

05/05/2020

Effective Date

12/10/2023

Expiration Date

03/01/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025