ERIN LEAF Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

ACTIVE

Business

First Name

ERIN

Last Name

LEAF

Business Name

ERIN LEAF

Original Issue Date

11/15/2024

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

GLEN ELLYN

State

Zip

60137

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026