JACOB MANUEL MONSIVAIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

ACTIVE

Business

First Name

JACOB

Middle

MANUEL

Last Name

MONSIVAIS

Business Name

JACOB MANUEL MONSIVAIS

Original Issue Date

09/17/2010

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026