PAT PARKS 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

PAT

Last Name

PARKS

Business Name

PAT PARKS

Original Issue Date

11/07/2008

Effective Date

03/14/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60625

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/14/2026