STEPHANIE LEE JANSEN 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

STEPHANIE

Middle

LEE

Last Name

JANSEN

Business Name

STEPHANIE LEE JANSEN

Original Issue Date

12/01/2014

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

OLNEY

State

Zip

62450

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025