EVAN SISMOUR 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

EVAN

Last Name

SISMOUR

Business Name

EVAN SISMOUR

Original Issue Date

12/12/2018

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60618

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/02/2026