BIANCA ALEXANDRIA DOHERTY 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

BIANCA

Middle

ALEXANDRIA

Last Name

DOHERTY

Business Name

BIANCA ALEXANDRIA DOHERTY

Original Issue Date

09/28/2017

Effective Date

12/23/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60618

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/23/2025