JEROME LAURENCE WILSON 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

JEROME

Middle

LAURENCE

Last Name

WILSON

Business Name

JEROME LAURENCE WILSON

Original Issue Date

04/08/2003

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60026

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2026