JENNIFER VICTORIA MENENDEZ 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

Middle

VICTORIA

Last Name

MENENDEZ

Business Name

JENNIFER VICTORIA MENENDEZ

Original Issue Date

10/11/2016

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

NORMAL

State

Zip

61761

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026