REBECCA CHILES WALLON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

ACTIVE

Business

First Name

REBECCA

Middle

CHILES

Last Name

WALLON

Business Name

REBECCA CHILES WALLON

Original Issue Date

11/17/2011

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/06/2026