JESSICA LANE FRIZZELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

LANE

Last Name

FRIZZELL

Business Name

JESSICA LANE FRIZZELL

Original Issue Date

10/15/2007

Effective Date

02/28/2014

Expiration Date

03/01/2016

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

03/29/2016