JASON LEE DUKES Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

INOPERATIVE

Business

First Name

JASON

Middle

LEE

Last Name

DUKES

Business Name

JASON LEE DUKES

Original Issue Date

08/22/2011

Effective Date

02/22/2012

Expiration Date

03/01/2014

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

02/22/2012