JESSICA LAUREN BOUDREAUX-MILLIGAN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003422

License Status

INACTIVE

Business

First Name

JESSICA

Middle

LAUREN

Last Name

BOUDREAUX-MILLIGAN

Business Name

JESSICA LAUREN BOUDREAUX-MILLIGAN

Original Issue Date

01/30/2009

Effective Date

01/30/2009

Expiration Date

03/01/2010

City

O FALLON

State

Zip

63366

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/05/2010