MADISON B WORTHINGTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

ACTIVE

Business

First Name

MADISON

Middle

Last Name

WORTHINGTON

Business Name

MADISON B WORTHINGTON

Original Issue Date

11/20/2024

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026