MARA WEAVER 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

MARA

Last Name

WEAVER

Business Name

MARA WEAVER

Original Issue Date

06/15/2023

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2025