CHRISTOPHER JOHN DIFFERDING Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

JOHN

Last Name

DIFFERDING

Business Name

CHRISTOPHER JOHN DIFFERDING

Original Issue Date

02/15/2012

Effective Date

01/03/2026

Expiration Date

03/01/2028

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/03/2026