KELLY JAYNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010044

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

JAYNE

Business Name

KELLY JAYNE

Original Issue Date

09/13/2023

Effective Date

09/13/2023

Expiration Date

03/01/2024

City

DANVILLE

State

Zip

17821

Ever Disciplined

LastModifiedDate

02/05/2025