ANITA MBAH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

ANITA

Last Name

MBAH

Business Name

ANITA MBAH

Original Issue Date

09/03/2025

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60602

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/10/2026