THOMAS TODD DEVRIES 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

THOMAS

Middle

TODD

Last Name

DEVRIES

Business Name

THOMAS TODD DEVRIES

Original Issue Date

07/02/2019

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026