JESSICA ERIN MUCCIANTI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

ACTIVE

Business

First Name

JESSICA

Middle

ERIN

Last Name

MUCCIANTI

Business Name

JESSICA ERIN MUCCIANTI

Original Issue Date

04/05/2011

Effective Date

02/01/2026

Expiration Date

03/01/2028

City

BELVIDERE

State

Zip

61008

County

BOONE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/01/2026