DOUGLAS ALAN WILLAMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

ALAN

Last Name

WILLAMAN

Business Name

DOUGLAS ALAN WILLAMAN

Original Issue Date

11/27/2007

Effective Date

12/06/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/06/2025