CASEY J PENNEL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

ACTIVE

Business

First Name

CASEY

Middle

Last Name

PENNEL

Business Name

CASEY J PENNEL

Original Issue Date

06/30/2016

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

OAK PARK

State

Zip

60301

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026