DALE THOMAS MCKINNEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

ACTIVE

Business

First Name

DALE

Middle

THOMAS

Last Name

MCKINNEY

Business Name

DALE THOMAS MCKINNEY

Original Issue Date

11/16/2005

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2026