SHRUTI ELIZABETH ANTHONY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

ACTIVE

Business

First Name

SHRUTI

Middle

ELIZABETH

Last Name

ANTHONY

Business Name

SHRUTI ELIZABETH ANTHONY

Original Issue Date

06/13/2024

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025