REBECCA ANNE FARLETT 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

REBECCA

Middle

ANNE

Last Name

FARLETT

Business Name

REBECCA ANNE FARLETT

Original Issue Date

07/17/2019

Effective Date

01/02/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025