JESSICA ANN HAINES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002591

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

ANN

Last Name

HAINES

Business Name

JESSICA ANN HAINES

Original Issue Date

09/26/2005

Effective Date

07/17/2012

Expiration Date

03/01/2014

City

RALEIGH

State

Zip

27604

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

04/08/2014