DAWN C ROMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

ACTIVE

Business

First Name

DAWN

Middle

Last Name

ROMAN

Business Name

DAWN C ROMAN

Original Issue Date

03/22/2001

Effective Date

02/28/2024

Expiration Date

03/01/2026

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025