JESSICA R WAGNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006963

License Status

ACTIVE

Business

First Name

JESSICA

Middle

Last Name

WAGNER

Business Name

JESSICA R WAGNER

Original Issue Date

03/07/2019

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

FENTON

State

Zip

63026

County

JEFFERSON

Ever Disciplined

LastModifiedDate

02/19/2026