TAYLOR ANNE BERKHOUT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

ACTIVE

Business

First Name

TAYLOR

Middle

ANNE

Last Name

BERKHOUT

Business Name

TAYLOR ANNE BERKHOUT

Original Issue Date

07/12/2021

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60608

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025