JENNIFER CHRISTINE ZIEREN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

CHRISTINE

Last Name

ZIEREN

Business Name

JENNIFER CHRISTINE ZIEREN

Original Issue Date

11/08/2004

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

12/27/2010