JEFFREY DARRELL TODD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

DARRELL

Last Name

TODD

Business Name

JEFFREY DARRELL TODD

Original Issue Date

08/03/2009

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

04/25/2016