JENIFER MARIE CHAMBLESS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

ACTIVE

Business

First Name

JENIFER

Middle

MARIE

Last Name

CHAMBLESS

Business Name

JENIFER MARIE CHAMBLESS

Original Issue Date

02/19/2003

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026