ALYSSA NICOLE SCANLON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

NICOLE

Last Name

SCANLON

Business Name

ALYSSA NICOLE SCANLON

Original Issue Date

10/31/2019

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026