JACQUELINE ANN COFFMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

ANN

Last Name

COFFMAN

Business Name

JACQUELINE ANN COFFMAN

Original Issue Date

10/13/2009

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/13/2026