ANNE HARRISON PARKS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

HARRISON

Last Name

PARKS

Business Name

ANNE HARRISON PARKS

Original Issue Date

03/15/2019

Effective Date

02/13/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025