KEVIN YAN KOENDERS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

ACTIVE

Business

First Name

KEVIN

Middle

YAN

Last Name

KOENDERS

Business Name

KEVIN YAN KOENDERS

Original Issue Date

11/12/2024

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025