JENNIFER LYNN UNDERWOOD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008762

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LYNN

Last Name

UNDERWOOD

Business Name

JENNIFER LYNN UNDERWOOD

Original Issue Date

11/24/2021

Effective Date

11/24/2021

Expiration Date

03/01/2022

City

GRASS LAKE

State

Zip

49240

Ever Disciplined

LastModifiedDate

07/27/2022