JEFFREY DARRELL TODD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003458

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

DARRELL

Last Name

TODD

Business Name

JEFFREY DARRELL TODD

Original Issue Date

05/13/2009

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

DARDENNE PRAIRIE

State

Zip

63368

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/25/2016