JENNIFER J KOKESH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

KOKESH

Business Name

JENNIFER J KOKESH

Original Issue Date

09/23/2008

Effective Date

08/05/2015

Expiration Date

03/01/2016

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/29/2016