JAMES WILLIAM VANFOSSEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

ACTIVE

Business

First Name

JAMES

Middle

WILLIAM

Last Name

VANFOSSEN

Business Name

JAMES WILLIAM VANFOSSEN

Original Issue Date

08/04/2025

Effective Date

03/09/2026

Expiration Date

03/01/2028

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/09/2026