HOLLY LOUISE BROOKS 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

HOLLY

Middle

LOUISE

Last Name

BROOKS

Business Name

HOLLY LOUISE BROOKS

Original Issue Date

07/27/2011

Effective Date

12/07/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/07/2025