ANISHA NICOLE JACKSON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003405

License Status

INACTIVE

Business

First Name

ANISHA

Middle

NICOLE

Last Name

JACKSON

Business Name

ANISHA NICOLE JACKSON

Original Issue Date

01/06/2009

Effective Date

03/19/2018

Expiration Date

03/01/2020

City

NEW KENSINGTON

State

Zip

15068

Ever Disciplined

LastModifiedDate

05/14/2018

Case Number

2014002230

Action

Probation

Discipline Start Date

07/08/2015

Discipline End Date

10/26/2017

Discipline Reason

after Respondent abruptly quit her job as a physician assistant without notifying anyone that she was leaving and would not return.