JANICE KIRSTIN JONES Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

INOPERATIVE

Business

First Name

JANICE

Middle

KIRSTIN

Last Name

JONES

Business Name

JANICE KIRSTIN JONES

Original Issue Date

03/20/2008

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/18/2019