ALYSE DAWN FARRAR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

ACTIVE

Business

First Name

ALYSE

Middle

DAWN

Last Name

FARRAR

Business Name

ALYSE DAWN FARRAR

Original Issue Date

01/26/2023

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

WHEATON

State

Zip

60189

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026