ARIELLE TERRA DOUGLAS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

ACTIVE

Business

First Name

ARIELLE

Middle

TERRA

Last Name

DOUGLAS

Business Name

ARIELLE TERRA DOUGLAS

Original Issue Date

06/27/2018

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025