ARIEL MARISSA MANNING Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

ARIEL

Middle

MARISSA

Last Name

MANNING

Business Name

ARIEL MARISSA MANNING

Original Issue Date

12/15/2020

Effective Date

02/04/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2026