BRIAN C HENNIG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

ACTIVE

Business

First Name

BRIAN

Middle

Last Name

HENNIG

Business Name

BRIAN C HENNIG

Original Issue Date

12/23/2004

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026