CLIFFORD CHARLES WHITEHOUSE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

ACTIVE

Business

First Name

CLIFFORD

Middle

CHARLES

Last Name

WHITEHOUSE

Business Name

CLIFFORD CHARLES WHITEHOUSE

Original Issue Date

04/22/2014

Effective Date

01/02/2026

Expiration Date

03/01/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/02/2026