MELISSA LEE DEZOUTE 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

MELISSA

Middle

LEE

Last Name

DEZOUTE

Business Name

MELISSA LEE DEZOUTE

Original Issue Date

07/23/2013

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026