JACOB L QUINN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

ACTIVE

Business

First Name

JACOB

Middle

Last Name

QUINN

Business Name

JACOB L QUINN

Original Issue Date

11/29/2022

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026