MOLLY MARGARET REVIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

ACTIVE

Business

First Name

MOLLY

Middle

MARGARET

Last Name

REVIS

Business Name

MOLLY MARGARET REVIS

Original Issue Date

01/22/2024

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

PLAINFIELD

State

Zip

60544

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026