JENNIFER R HERNDON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003430

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

Last Name

HERNDON

Business Name

JENNIFER R HERNDON

Original Issue Date

02/05/2009

Effective Date

01/07/2014

Expiration Date

03/01/2016

City

WENTZVILLE

State

Zip

63385

Ever Disciplined

LastModifiedDate

05/24/2021