JENNIFER ANN VANDEVELDE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008622

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

ANN

Last Name

VANDEVELDE

Business Name

JENNIFER ANN VANDEVELDE

Original Issue Date

09/28/2021

Effective Date

02/14/2026

Expiration Date

03/01/2028

City

LA PORTE

State

Zip

46350

Ever Disciplined

LastModifiedDate

02/14/2026