ERIN ASHLEIGH LANGGUTH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****58

License Status

ACTIVE

Business

First Name

ERIN

Middle

ASHLEIGH

Last Name

LANGGUTH

Business Name

ERIN ASHLEIGH LANGGUTH

Original Issue Date

07/23/2020

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/28/2026