KENNETH MARCUS EVANS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

ACTIVE

Business

First Name

KENNETH

Middle

MARCUS

Last Name

EVANS

Business Name

KENNETH MARCUS EVANS

Original Issue Date

04/22/2024

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2026