MICHAEL HABLISTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

ACTIVE

Business

First Name

MICHAEL

Last Name

HABLISTON

Business Name

MICHAEL HABLISTON

Original Issue Date

07/03/2023

Effective Date

12/14/2023

Expiration Date

03/01/2026

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025