PHILLIP RAY ERTHALL JR 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

PHILLIP

Middle

RAY

Last Name

ERTHALL

Suffix

Business Name

PHILLIP RAY ERTHALL JR

Original Issue Date

11/03/2005

Effective Date

01/17/2026

Expiration Date

03/01/2028

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/17/2026