JULIE ANN DESUTTER 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

JULIE

Middle

ANN

Last Name

DESUTTER

Business Name

JULIE ANN DESUTTER

Original Issue Date

10/30/2001

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2026