JODI ALISE MARTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006129

License Status

ACTIVE

Business

First Name

JODI

Middle

ALISE

Last Name

MARTIN

Business Name

JODI ALISE MARTIN

Original Issue Date

02/09/2017

Effective Date

02/17/2026

Expiration Date

03/01/2028

City

O FALLON

State

Zip

63368

Ever Disciplined

LastModifiedDate

02/17/2026