EDWARD CARL ANDERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

ACTIVE

Business

First Name

EDWARD

Middle

CARL

Last Name

ANDERSON

Business Name

EDWARD CARL ANDERSON

Original Issue Date

03/16/2001

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026