JENNY VERONICA DEYTO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

INOPERATIVE

Business

First Name

JENNY

Middle

VERONICA

Last Name

DEYTO

Business Name

JENNY VERONICA DEYTO

Original Issue Date

08/23/2016

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

01/03/2022