JESSICA LAUREN BOUDREAUX-MILLIGAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

LAUREN

Last Name

BOUDREAUX-MILLIGAN

Business Name

JESSICA LAUREN BOUDREAUX-MILLIGAN

Original Issue Date

02/25/2009

Effective Date

02/25/2009

Expiration Date

03/01/2010

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

01/05/2010