SUSAN MAUREEN METTILLE 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

SUSAN

Middle

MAUREEN

Last Name

METTILLE

Business Name

SUSAN MAUREEN METTILLE

Original Issue Date

05/09/2002

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/23/2026