JESSICA A SCHROCK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****58

License Status

INOPERATIVE

Business

First Name

JESSICA

Middle

Last Name

SCHROCK

Business Name

JESSICA A SCHROCK

Original Issue Date

01/24/2011

Effective Date

02/09/2012

Expiration Date

03/01/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/01/2012