JACYLYN WAHL 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

JACYLYN

Last Name

WAHL

Business Name

JACYLYN WAHL

Original Issue Date

04/27/2021

Effective Date

03/02/2024

Expiration Date

03/01/2026

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025