JENNIFER LYN VANCE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYN

Last Name

VANCE

Business Name

JENNIFER LYN VANCE

Original Issue Date

01/20/2009

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

05/10/2018