DANIELLE HUMPHREY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

ACTIVE

Business

First Name

DANIELLE

Last Name

HUMPHREY

Business Name

DANIELLE HUMPHREY

Original Issue Date

11/21/2022

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2026