MOLLY E HARTIG Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

ACTIVE

Business

First Name

MOLLY

Middle

Last Name

HARTIG

Business Name

MOLLY E HARTIG

Original Issue Date

07/26/2024

Effective Date

01/03/2026

Expiration Date

03/01/2028

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/03/2026