JARED W SWAIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007644

License Status

NOT RENEWED

Business

First Name

JARED

Middle

Last Name

SWAIN

Business Name

JARED W SWAIN

Original Issue Date

05/01/2020

Effective Date

05/01/2020

Expiration Date

03/01/2022

City

ROLLING PRAIRIE

State

Zip

46371

Ever Disciplined

LastModifiedDate

07/27/2022