DAVID DYLAN PATE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

ACTIVE

Business

First Name

DAVID

Middle

DYLAN

Last Name

PATE

Business Name

DAVID DYLAN PATE

Original Issue Date

08/29/2016

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2026