LIESL M BLETHEN 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

LIESL

Middle

Last Name

BLETHEN

Business Name

LIESL M BLETHEN

Original Issue Date

09/08/2017

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2026