RALPH A SEYMOURE 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

RALPH

Middle

Last Name

SEYMOURE

Business Name

RALPH A SEYMOURE

Original Issue Date

12/01/2011

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026