ERIC MICHAEL SPENNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

ACTIVE

Business

First Name

ERIC

Middle

MICHAEL

Last Name

SPENNER

Business Name

ERIC MICHAEL SPENNER

Original Issue Date

08/12/2015

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2026