ALEXANDER WHITNEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

NOT RENEWED

Business

First Name

ALEXANDER

Last Name

WHITNEY

Business Name

ALEXANDER WHITNEY

Original Issue Date

11/05/2018

Effective Date

02/21/2022

Expiration Date

03/01/2024

City

WEST DUNDEE

State

Zip

60118

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025