JENNIFER LEE WHALEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002371

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

LEE

Last Name

WHALEN

Business Name

JENNIFER LEE WHALEN

Original Issue Date

10/05/2004

Effective Date

10/05/2004

Expiration Date

03/01/2008

City

WILLIAMSBURG

State

Zip

23188

County

VIRGINIA

Ever Disciplined

LastModifiedDate

04/23/2008