JENNIFER DEGUZMAN TOMELDEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

DEGUZMAN

Last Name

TOMELDEN

Business Name

JENNIFER DEGUZMAN TOMELDEN

Original Issue Date

09/23/2013

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022