STACIE ELLEN WHARTON 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

STACIE

Middle

ELLEN

Last Name

WHARTON

Business Name

STACIE ELLEN WHARTON

Original Issue Date

01/20/2009

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

BOLINGBROOK

State

Zip

60440

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026