JENNIFER R HERNDON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

HERNDON

Business Name

JENNIFER R HERNDON

Original Issue Date

05/13/2009

Effective Date

01/07/2014

Expiration Date

03/01/2016

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

05/05/2016