STEPHANIE H GOEDE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

GOEDE

Business Name

STEPHANIE H GOEDE

Original Issue Date

11/07/2012

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/13/2026