ROBERT MICHAEL STICKLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

MICHAEL

Last Name

STICKLER

Business Name

ROBERT MICHAEL STICKLER

Original Issue Date

07/14/2015

Effective Date

02/08/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60613

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020