JENNIFER RAE SUNDERLAND Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

RAE

Last Name

SUNDERLAND

Business Name

JENNIFER RAE SUNDERLAND

Original Issue Date

06/09/2008

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/26/2026