TIMOTHY R HALL 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

TIMOTHY

Middle

Last Name

HALL

Business Name

TIMOTHY R HALL

Original Issue Date

01/25/2001

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

JOLIET

State

Zip

60435

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026