ANDREA R BEVOLO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

ACTIVE

Business

First Name

ANDREA

Middle

Last Name

BEVOLO

Business Name

ANDREA R BEVOLO

Original Issue Date

10/04/2018

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

PALOS HILLS

State

Zip

60465

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026