WAVERLY ELYSSE DEL VALLE 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

WAVERLY

Middle

ELYSSE

Last Name

DEL VALLE

Business Name

WAVERLY ELYSSE DEL VALLE

Original Issue Date

06/07/2023

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026