DONNA J CARSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

ACTIVE

Business

First Name

DONNA

Middle

Last Name

CARSON

Business Name

DONNA J CARSON

Original Issue Date

12/20/2011

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025