JASON PEARCE BEISSINGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

NOT RENEWED

Business

First Name

JASON

Middle

PEARCE

Last Name

BEISSINGER

Business Name

JASON PEARCE BEISSINGER

Original Issue Date

10/24/2001

Effective Date

10/24/2001

Expiration Date

03/01/2004

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006