DONALD EDWARD ELMORE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

DONALD

Middle

EDWARD

Last Name

ELMORE

Business Name

DONALD EDWARD ELMORE

Original Issue Date

07/25/2024

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026