JACKSON PALENICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011094

License Status

ACTIVE

Business

First Name

JACKSON

Last Name

PALENICK

Business Name

JACKSON PALENICK

Original Issue Date

01/31/2025

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

PICKERINGTON

State

Zip

43147

Ever Disciplined

LastModifiedDate

12/31/2025