EDEN ANN LLEWELLYN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

ACTIVE

Business

First Name

EDEN

Middle

ANN

Last Name

LLEWELLYN

Business Name

EDEN ANN LLEWELLYN

Original Issue Date

03/11/2014

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60585

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2025