JENILEE R FOSTER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008060

License Status

NOT RENEWED

Business

First Name

JENILEE

Middle

Last Name

FOSTER

Business Name

JENILEE R FOSTER

Original Issue Date

11/02/2020

Effective Date

11/02/2020

Expiration Date

03/01/2022

City

WAVERLY

State

Zip

14892

Ever Disciplined

LastModifiedDate

07/27/2022