JENNA MARIE JACKSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008569

License Status

ACTIVE

Business

First Name

JENNA

Middle

MARIE

Last Name

JACKSON

Business Name

JENNA MARIE JACKSON

Original Issue Date

08/25/2021

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CAPE GIRARDEAU

State

Zip

63703

Ever Disciplined

LastModifiedDate

12/04/2025