DANIELLE JEANNE VANDERVEEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004000

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

JEANNE

Last Name

VANDERVEEN

Business Name

DANIELLE JEANNE VANDERVEEN

Original Issue Date

03/01/2011

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

FLANAGAN

State

Zip

61740

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/02/2026