JEREMY DANIEL DUNBARR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

DANIEL

Last Name

DUNBARR

Business Name

JEREMY DANIEL DUNBARR

Original Issue Date

04/08/2011

Effective Date

04/08/2011

Expiration Date

03/01/2012

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

04/16/2012