ADDISON BOYLE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

ACTIVE

Business

First Name

ADDISON

Last Name

BOYLE

Business Name

ADDISON BOYLE

Original Issue Date

10/24/2025

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2026