KEATON LAWSON WOLF 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

KEATON

Last Name

LAWSON WOLF

Business Name

KEATON LAWSON WOLF

Original Issue Date

04/02/2024

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2026