JILL L DAVIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

NOT RENEWED

Business

First Name

JILL

Middle

Last Name

DAVIS

Business Name

JILL L DAVIS

Original Issue Date

10/06/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

04/21/2016