CLIFFORD CHARLES WHITEHOUSE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004982

License Status

ACTIVE

Business

First Name

CLIFFORD

Middle

CHARLES

Last Name

WHITEHOUSE

Business Name

CLIFFORD CHARLES WHITEHOUSE

Original Issue Date

01/30/2014

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

01/02/2026