JAMIE LYNN HENGEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003652

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

LYNN

Last Name

HENGEN

Business Name

JAMIE LYNN HENGEN

Original Issue Date

10/23/2009

Effective Date

03/04/2010

Expiration Date

03/01/2012

City

SAINT CHARLES

State

Zip

63301

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/06/2014