EMILY LANE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

ACTIVE

Business

First Name

EMILY

Last Name

LANE

Business Name

EMILY LANE

Original Issue Date

10/16/2021

Effective Date

12/30/2025

Expiration Date

03/01/2028

City

LECLAIRE

State

Zip

52753

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/30/2025