JENNIFER LEIGH MOONEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005171

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LEIGH

Last Name

MOONEY

Business Name

JENNIFER LEIGH MOONEY

Original Issue Date

08/26/2014

Effective Date

08/26/2014

Expiration Date

03/01/2016

City

ALPINE

State

Zip

84004

County

UTAH

Ever Disciplined

LastModifiedDate

04/25/2016