JENNIFER JO PASSANTINO Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002822

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

PASSANTINO

Business Name

JENNIFER JO PASSANTINO

Original Issue Date

09/15/2006

Effective Date

02/17/2010

Expiration Date

03/01/2012

City

JOHNS ISLAND

State

Zip

29455

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

02/15/2018