PHILIP LEO KNUTH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

ACTIVE

Business

First Name

PHILIP

Middle

LEO

Last Name

KNUTH

Business Name

PHILIP LEO KNUTH

Original Issue Date

12/23/2013

Effective Date

03/08/2024

Expiration Date

03/01/2026

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

12/03/2025