JENNIFER BROOKS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

INOPERATIVE

Business

First Name

JENNIFER

Last Name

BROOKS

Business Name

JENNIFER BROOKS

Original Issue Date

09/16/2008

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

OLNEY

State

Zip

62450

County

RICHLAND

Ever Disciplined

LastModifiedDate

11/15/2012