License holder summary

Jerry Wakeman Severance PA is a Physician Assistant licensed to practice in Arizona. The address on file for Jerry Wakeman Severance PA is 1111 N China Lake Blvd, Ridgecrest CA 93555-3131. This licensed professional license is not current. The license was granted 11/17/1989.

Arizona

Board of Licensing

Jerry Wakeman Severance PA
Physician Assistant
License number
1415
Date granted
11/17/1989
Class
Physician Assistant
Status
Expired
Address
1111 N China Lake Blvd, Ridgecrest CA 93555-3131
arizonalicensing.com
ID 22748439
LAST UPDATED 2026-05-16 01:14:40 UTC

This website is unaffiliated with Arizona and its licensing agencies. Please verify all information directly with the relevant official government authority.

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