ALEXIS HEATHER SMALL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

ACTIVE

Business

First Name

ALEXIS

Middle

HEATHER

Last Name

SMALL

Business Name

ALEXIS HEATHER SMALL

Original Issue Date

11/24/2020

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026