JENNIFER ANN VANDEVELDE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

ANN

Last Name

VANDEVELDE

Business Name

JENNIFER ANN VANDEVELDE

Original Issue Date

12/09/2021

Effective Date

02/14/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2026