SAMUEL WHITSEDIE ECKERT 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

SAMUEL

Middle

WHITSEDIE

Last Name

ECKERT

Business Name

SAMUEL WHITSEDIE ECKERT

Original Issue Date

07/12/2022

Effective Date

02/21/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/21/2026