VIRGINIA ADELE LENNON 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

VIRGINIA

Middle

ADELE

Last Name

LENNON

Business Name

VIRGINIA ADELE LENNON

Original Issue Date

12/21/2021

Effective Date

02/27/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60617

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025