JEREMY JAMES LARVA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006107

License Status

ACTIVE

Business

First Name

JEREMY

Middle

JAMES

Last Name

LARVA

Business Name

JEREMY JAMES LARVA

Original Issue Date

01/19/2017

Effective Date

12/30/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

12/30/2025