ERIC DALE WOLF Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

ACTIVE

Business

First Name

ERIC DALE

Last Name

WOLF

Business Name

ERIC DALE WOLF

Original Issue Date

09/22/2005

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHATHAM

State

Zip

62629

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

12/04/2025