JEFFREY LLOYD ALCORN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

LLOYD

Last Name

ALCORN

Business Name

JEFFREY LLOYD ALCORN

Original Issue Date

08/26/2003

Effective Date

08/26/2003

Expiration Date

03/01/2004

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

10/09/2006