JAMIE LYNN SWANSON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002346

License Status

INACTIVE

Business

First Name

JAMIE

Middle

LYNN

Last Name

SWANSON

Business Name

JAMIE LYNN SWANSON

Original Issue Date

09/22/2004

Effective Date

09/22/2004

Expiration Date

03/01/2006

City

ZIONSVILLE

State

Zip

46077

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006