PAIGE BROUSTIS 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

PAIGE

Last Name

BROUSTIS

Business Name

PAIGE BROUSTIS

Original Issue Date

12/07/2023

Effective Date

12/07/2023

Expiration Date

03/01/2026

City

SOUTH BARRINGTON

State

Zip

60010

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025