JEANETTE SHELTON ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003397

License Status

NOT RENEWED

Business

First Name

JEANETTE

Middle

SHELTON

Last Name

ANDERSON

Business Name

JEANETTE SHELTON ANDERSON

Original Issue Date

12/16/2008

Effective Date

12/16/2008

Expiration Date

03/01/2010

City

MUNCIE

State

Zip

47304

County

INDIANA

Ever Disciplined

LastModifiedDate

09/22/2010