MARISA VANDER MEEDEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

ACTIVE

Business

First Name

MARISA

Last Name

VANDER MEEDEN

Business Name

MARISA VANDER MEEDEN

Original Issue Date

12/01/2021

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/27/2026