JESSICA SUE RICHMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

SUE

Last Name

RICHMAN

Business Name

JESSICA SUE RICHMAN

Original Issue Date

12/04/2006

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/17/2016