STEPHANIE MARTHA THOMAS 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

STEPHANIE

Middle

MARTHA

Last Name

THOMAS

Business Name

STEPHANIE MARTHA THOMAS

Original Issue Date

12/10/2020

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026