ERSAN EROL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

ERSAN

Last Name

EROL

Business Name

ERSAN EROL

Original Issue Date

06/28/2021

Effective Date

01/31/2024

Expiration Date

03/01/2026

City

BEARDSTOWN

State

Zip

62618

County

CASS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025