JARED LUKE ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005586

License Status

NOT RENEWED

Business

First Name

JARED

Middle

LUKE

Last Name

ANDERSON

Business Name

JARED LUKE ANDERSON

Original Issue Date

08/03/2015

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

RIDGEFIELD

State

Zip

98642

Ever Disciplined

LastModifiedDate

05/10/2018