JENNIFER GUNDERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

ACTIVE

Business

First Name

JENNIFER

Last Name

GUNDERSON

Business Name

JENNIFER GUNDERSON

Original Issue Date

06/24/2025

Effective Date

06/24/2025

Expiration Date

03/01/2026

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025