STEPHEN BANCROFT 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

STEPHEN

Last Name

BANCROFT

Business Name

STEPHEN BANCROFT

Original Issue Date

12/19/2022

Effective Date

01/24/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60625

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2026