RAYMOND E HINES III 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

RAYMOND

Middle

Last Name

HINES

Suffix

III

Business Name

RAYMOND E HINES III

Original Issue Date

05/21/2001

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

MOKENA

State

Zip

60448

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025