JACQUELYN M HERBERT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

ACTIVE

Business

First Name

JACQUELYN

Middle

Last Name

HERBERT

Business Name

JACQUELYN M HERBERT

Original Issue Date

10/15/2013

Effective Date

01/24/2026

Expiration Date

03/01/2028

City

MONMOUTH

State

Zip

61462

County

WARREN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2026