JETT ELENA MCGUIRE 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

JETT

Middle

ELENA

Last Name

MCGUIRE

Business Name

JETT ELENA MCGUIRE

Original Issue Date

05/13/2021

Effective Date

01/13/2022

Expiration Date

03/01/2024

City

GODFREY

State

Zip

62035

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025