EMILY ELIZABETH JACOBS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007940

License Status

NOT RENEWED

Business

First Name

EMILY

Middle

ELIZABETH

Last Name

JACOBS

Business Name

EMILY ELIZABETH JACOBS

Original Issue Date

09/10/2020

Effective Date

02/08/2022

Expiration Date

03/01/2024

City

MENOMONEE FALLS

State

Zip

53051

Ever Disciplined

LastModifiedDate

02/05/2025