JENNIFER LYNN TWEDT WEIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

NOT RENEWED

Business

First Name

JENNIFER LYNN

Middle

TWEDT

Last Name

WEIS

Business Name

JENNIFER LYNN TWEDT WEIS

Original Issue Date

09/07/2005

Effective Date

09/07/2005

Expiration Date

03/01/2008

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2006