JESSICA MARIA BASTIDAS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

ACTIVE

Business

First Name

JESSICA

Middle

MARIA

Last Name

BASTIDAS

Business Name

JESSICA MARIA BASTIDAS

Original Issue Date

11/24/2014

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026