JERAD DIAZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009856

License Status

ACTIVE

Business

First Name

JERAD

Last Name

DIAZ

Business Name

JERAD DIAZ

Original Issue Date

07/27/2023

Effective Date

02/16/2024

Expiration Date

03/01/2026

City

EVANSVILLE

State

Zip

47714

Ever Disciplined

LastModifiedDate

12/03/2025