CARLY CHANDLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

ACTIVE

Business

First Name

CARLY

Last Name

CHANDLER

Business Name

CARLY CHANDLER

Original Issue Date

05/03/2023

Effective Date

02/17/2024

Expiration Date

03/01/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025