ANDREW JACOB KNUDSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

ACTIVE

Business

First Name

ANDREW

Middle

JACOB

Last Name

KNUDSEN

Business Name

ANDREW JACOB KNUDSEN

Original Issue Date

02/05/2025

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/23/2026