JORDAN SUMMER THOMAS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

INOPERATIVE

Business

First Name

JORDAN

Middle

SUMMER

Last Name

THOMAS

Business Name

JORDAN SUMMER THOMAS

Original Issue Date

10/28/2021

Effective Date

01/13/2022

Expiration Date

03/01/2024

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

12/06/2023