LISA RUTH EVERTSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

LISA

Middle

RUTH

Last Name

EVERTSEN

Business Name

LISA RUTH EVERTSEN

Original Issue Date

03/23/2015

Effective Date

02/07/2026

Expiration Date

03/01/2028

City

MELROSE PARK

State

Zip

60160

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/07/2026