ANNA C HERETH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

ACTIVE

Business

First Name

ANNA

Middle

Last Name

HERETH

Business Name

ANNA C HERETH

Original Issue Date

12/20/2016

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

NORTHBROOK

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026