JESSICA LEIGH GIBSON 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

JESSICA

Middle

LEIGH

Last Name

GIBSON

Business Name

JESSICA LEIGH GIBSON

Original Issue Date

03/19/2014

Effective Date

02/27/2018

Expiration Date

03/01/2020

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020