JESSICA MARIE GUNN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

INOPERATIVE

Business

First Name

JESSICA

Middle

MARIE

Last Name

GUNN

Business Name

JESSICA MARIE GUNN

Original Issue Date

09/12/2014

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2018