CAROLINE GRACE DEMORDAUNT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

CAROLINE

Middle

GRACE

Last Name

DEMORDAUNT

Business Name

CAROLINE GRACE DEMORDAUNT

Original Issue Date

12/20/2024

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/23/2026