RACHEL ELIZABETH ELDERSVELD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

ELIZABETH

Last Name

ELDERSVELD

Business Name

RACHEL ELIZABETH ELDERSVELD

Original Issue Date

03/07/2019

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

SCHAUMBURG

State

Zip

60173

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022