JACQUELINE JORDAN SPIEGEL Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001683

License Status

INACTIVE

Business

First Name

JACQUELINE

Middle

JORDAN

Last Name

SPIEGEL

Business Name

JACQUELINE JORDAN SPIEGEL

Original Issue Date

11/06/2001

Effective Date

11/06/2001

Expiration Date

03/01/2006

City

TREVOR

State

Zip

53179

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2007