JACYLYN WAHL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008209

License Status

ACTIVE

Business

First Name

JACYLYN

Last Name

WAHL

Business Name

JACYLYN WAHL

Original Issue Date

02/11/2021

Effective Date

02/13/2024

Expiration Date

03/01/2026

City

PLEASANT PRAIRIE

State

Zip

53158

Ever Disciplined

LastModifiedDate

12/03/2025