MICHAEL B STAFF 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

MICHAEL

Middle

Last Name

STAFF

Business Name

MICHAEL B STAFF

Original Issue Date

02/26/2001

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

DU QUOIN

State

Zip

62832

County

PERRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/07/2026