JACOB MATTHEW VONDEBUR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011450

License Status

ACTIVE

Business

First Name

JACOB

Middle

MATTHEW

Last Name

VONDEBUR

Business Name

JACOB MATTHEW VONDEBUR

Original Issue Date

07/22/2025

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/28/2026