JESSICA DIANE BLAIR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

ACTIVE

Business

First Name

JESSICA

Middle

DIANE

Last Name

BLAIR

Business Name

JESSICA DIANE BLAIR

Original Issue Date

12/13/2017

Effective Date

02/27/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61603

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/27/2026