KARI L JEFFERSON 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

KARI

Middle

Last Name

JEFFERSON

Business Name

KARI L JEFFERSON

Original Issue Date

06/29/2009

Effective Date

02/25/2010

Expiration Date

03/01/2012

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/11/2012