JESSICA LAUREN GORDON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

ACTIVE

Business

First Name

JESSICA

Middle

LAUREN

Last Name

GORDON

Business Name

JESSICA LAUREN GORDON

Original Issue Date

09/08/2020

Effective Date

01/23/2024

Expiration Date

03/01/2026

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/03/2025