JANESSA VANDETTE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

ACTIVE

Business

First Name

JANESSA

Last Name

VANDETTE

Business Name

JANESSA VANDETTE

Original Issue Date

08/13/2021

Effective Date

01/08/2026

Expiration Date

03/01/2028

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2026