Iowa
Professional Licensing Bureau
Jessica Anne Southard
Physician Assistants - Physician Assistant
License number
001933
Date granted
07/18/2008
Date expires
09/30/2016
Class
Physician Assistants - Physician Assistant
Status
Active
Address
16823 PRAIRIE DR CLIVE IA 50325
iowalicenses.org
ID 24188929
LAST UPDATED 2024-05-14 06:24:57 UTC
LAST UPDATED 2024-05-14 06:24:57 UTC
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