D’ANDRA MIXON-WALKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

ACTIVE

Business

First Name

D’ANDRA

Last Name

MIXON-WALKER

Business Name

D’ANDRA MIXON-WALKER

Original Issue Date

03/21/2023

Effective Date

01/03/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/03/2026