BRANDON N LANDSVERK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

ACTIVE

Business

First Name

BRANDON

Middle

Last Name

LANDSVERK

Business Name

BRANDON N LANDSVERK

Original Issue Date

01/31/2008

Effective Date

02/01/2024

Expiration Date

03/01/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025