HALEY RANAE GOULSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

ACTIVE

Business

First Name

HALEY

Middle

RANAE

Last Name

GOULSON

Business Name

HALEY RANAE GOULSON

Original Issue Date

11/23/2009

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

01/28/2026