AUGUSTA MALPASS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****06

License Status

ACTIVE

Business

First Name

AUGUSTA

Last Name

MALPASS

Business Name

AUGUSTA MALPASS

Original Issue Date

10/23/2018

Effective Date

01/31/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60602

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/31/2026