BRANDON VAHL WILLARDSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

ACTIVE

Business

First Name

BRANDON

Middle

VAHL

Last Name

WILLARDSON

Business Name

BRANDON VAHL WILLARDSON

Original Issue Date

10/10/2025

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2026