ANGELA B DANIELSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

DANIELSON

Business Name

ANGELA B DANIELSON

Original Issue Date

12/04/2008

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026