PHILEASE J MARTIN 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

PHILEASE

Middle

Last Name

MARTIN

Business Name

PHILEASE J MARTIN

Original Issue Date

06/16/2020

Effective Date

01/31/2026

Expiration Date

03/01/2028

City

HARVEY

State

Zip

60426

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/31/2026