JEAN ANN PHEMISTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

NOT RENEWED

Business

First Name

JEAN

Middle

ANN

Last Name

PHEMISTER

Business Name

JEAN ANN PHEMISTER

Original Issue Date

03/20/2001

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/16/2012