DAVID ROBERT JENKINS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

ACTIVE

Business

First Name

DAVID

Middle

ROBERT

Last Name

JENKINS

Business Name

DAVID ROBERT JENKINS

Original Issue Date

07/14/2025

Effective Date

07/14/2025

Expiration Date

03/01/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025