FAYETTE POWERS WERNICK 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

FAYETTE

Middle

POWERS

Last Name

WERNICK

Business Name

FAYETTE POWERS WERNICK

Original Issue Date

02/24/2022

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/23/2026