TRACI WALTERS 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

TRACI

Last Name

WALTERS

Business Name

TRACI WALTERS

Original Issue Date

05/08/2015

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60564

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026