JESSICA RAE MCKENZIE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006566

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

RAE

Last Name

MCKENZIE

Business Name

JESSICA RAE MCKENZIE

Original Issue Date

04/05/2018

Effective Date

12/18/2019

Expiration Date

03/01/2022

City

NORFOLK

State

Zip

23507

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022