JEREMY JAMES LARVA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

ACTIVE

Business

First Name

JEREMY

Middle

JAMES

Last Name

LARVA

Business Name

JEREMY JAMES LARVA

Original Issue Date

06/19/2017

Effective Date

12/30/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2025