AUSTIN RAY FIEDLER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

ACTIVE

Business

First Name

AUSTIN

Middle

RAY

Last Name

FIEDLER

Business Name

AUSTIN RAY FIEDLER

Original Issue Date

04/12/2019

Effective Date

02/23/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025