JUSTIN STANFORD DUFFY 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

JUSTIN

Middle

STANFORD

Last Name

DUFFY

Business Name

JUSTIN STANFORD DUFFY

Original Issue Date

10/17/2024

Effective Date

10/17/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026