JENELL LYNN EDDINS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

NOT RENEWED

Business

First Name

JENELL

Middle

LYNN

Last Name

EDDINS

Business Name

JENELL LYNN EDDINS

Original Issue Date

07/09/2008

Effective Date

01/18/2022

Expiration Date

03/01/2024

City

PEORIA

State

Zip

61605

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025