CHAD BRYANT SIMMONS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

BRYANT

Last Name

SIMMONS

Business Name

CHAD BRYANT SIMMONS

Original Issue Date

03/14/2018

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022