JESSICA MICKUS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009043

License Status

NOT RENEWED

Business

First Name

JESSICA

Last Name

MICKUS

Business Name

JESSICA MICKUS

Original Issue Date

07/15/2022

Effective Date

07/15/2022

Expiration Date

03/01/2024

City

DALLAS

State

Zip

75225

Ever Disciplined

LastModifiedDate

02/05/2025