HAYDEN ELIZABETH BAGNELL-PETTINE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

ACTIVE

Business

First Name

HAYDEN

Middle

ELIZABETH

Last Name

BAGNELL-PETTINE

Business Name

HAYDEN ELIZABETH BAGNELL-PETTINE

Original Issue Date

08/06/2025

Effective Date

12/17/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/17/2025