JACOB TYLER PIKE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

ACTIVE

Business

First Name

JACOB

Middle

TYLER

Last Name

PIKE

Business Name

JACOB TYLER PIKE

Original Issue Date

08/25/2023

Effective Date

12/16/2025

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60203

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2025