AMELIA L FALAT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

ACTIVE

Business

First Name

AMELIA

Middle

Last Name

FALAT

Business Name

AMELIA L FALAT

Original Issue Date

02/21/2013

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026