CALLIE LYNN JANET Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

CALLIE

Middle

LYNN

Last Name

JANET

Business Name

CALLIE LYNN JANET

Original Issue Date

04/12/2021

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

DES PLAINES

State

Zip

60016

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026