ELIAS JAY ANDERSON 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

ELIAS

Middle

JAY

Last Name

ANDERSON

Business Name

ELIAS JAY ANDERSON

Original Issue Date

12/08/2006

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026