HALEY MARIE MARTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

ACTIVE

Business

First Name

HALEY

Middle

MARIE

Last Name

MARTIN

Business Name

HALEY MARIE MARTIN

Original Issue Date

05/24/2021

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

BARRINGTON

State

Zip

60010

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026