SPENCER PHILIP SHOLL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

ACTIVE

Business

First Name

SPENCER

Middle

PHILIP

Last Name

SHOLL

Business Name

SPENCER PHILIP SHOLL

Original Issue Date

01/17/2025

Effective Date

02/13/2026

Expiration Date

03/01/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/13/2026