ANDREW THOMPSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

ACTIVE

Business

First Name

ANDREW

Last Name

THOMPSON

Business Name

ANDREW THOMPSON

Original Issue Date

06/05/2024

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61114

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/19/2026