MERCEDES MARY LAND 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

MERCEDES

Middle

MARY

Last Name

LAND

Business Name

MERCEDES MARY LAND

Original Issue Date

11/02/2023

Effective Date

02/06/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60617

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/06/2026