RYAN JOHN ANDERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

ACTIVE

Business

First Name

RYAN

Middle

JOHN

Last Name

ANDERSON

Business Name

RYAN JOHN ANDERSON

Original Issue Date

08/29/2017

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2026