TINA M JASPERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

NOT RENEWED

Business

First Name

TINA

Middle

Last Name

JASPERSON

Business Name

TINA M JASPERSON

Original Issue Date

08/22/2014

Effective Date

08/22/2014

Expiration Date

03/01/2016

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/25/2016