JENNIFER KAY SLATER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

KAY

Last Name

SLATER

Business Name

JENNIFER KAY SLATER

Original Issue Date

10/12/2016

Effective Date

03/11/2026

Expiration Date

03/01/2028

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

03/11/2026