JOSEPH THOMAS BOUTET 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

JOSEPH

Middle

THOMAS

Last Name

BOUTET

Business Name

JOSEPH THOMAS BOUTET

Original Issue Date

09/25/2008

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026