ANDREW JACOB KNUDSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010843

License Status

ACTIVE

Business

First Name

ANDREW

Middle

JACOB

Last Name

KNUDSEN

Business Name

ANDREW JACOB KNUDSEN

Original Issue Date

09/27/2024

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

FULTON

State

Zip

61252

Ever Disciplined

LastModifiedDate

01/23/2026