SUSAN MARIE CANTY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

ACTIVE

Business

First Name

SUSAN MARIE

Last Name

CANTY

Business Name

SUSAN MARIE CANTY

Original Issue Date

07/12/2004

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61606

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2026