JORDEN GENTRY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

ACTIVE

Business

First Name

JORDEN

Last Name

GENTRY

Business Name

JORDEN GENTRY

Original Issue Date

10/23/2024

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026