JEREMY SHANE BOWEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

ACTIVE

Business

First Name

JEREMY

Middle

SHANE

Last Name

BOWEN

Business Name

JEREMY SHANE BOWEN

Original Issue Date

10/10/2006

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

BREESE

State

Zip

62230

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026