TRACEY LEE SHERMAN 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

TRACEY

Middle

LEE

Last Name

SHERMAN

Business Name

TRACEY LEE SHERMAN

Original Issue Date

11/18/2024

Effective Date

11/18/2024

Expiration Date

03/01/2026

City

PEORIA

State

Zip

61602

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025