ADAM MAYBERRY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

ACTIVE

Business

First Name

ADAM

Last Name

MAYBERRY

Business Name

ADAM MAYBERRY

Original Issue Date

02/21/2020

Effective Date

02/07/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025