JON E PERRY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

NOT RENEWED

Business

First Name

JON

Middle

Last Name

PERRY

Business Name

JON E PERRY

Original Issue Date

11/06/2003

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

02/10/2011