JAMIE JILL WEAVER PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001442

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

JILL

Last Name

WEAVER

Suffix

PA-C

Business Name

JAMIE JILL WEAVER PA-C

Original Issue Date

10/30/2000

Effective Date

10/30/2000

Expiration Date

03/01/2004

City

LANCASTER

State

Zip

43130

County

OHIO

Ever Disciplined

LastModifiedDate

10/09/2006