LUKE TANABE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

ACTIVE

Business

First Name

LUKE

Last Name

TANABE

Business Name

LUKE TANABE

Original Issue Date

11/19/2025

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026