TRENTON DALE CLAPP Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

ACTIVE

Business

First Name

TRENTON

Middle

DALE

Last Name

CLAPP

Business Name

TRENTON DALE CLAPP

Original Issue Date

09/21/2016

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2026