HALEY H WALTON 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

HALEY

Middle

Last Name

WALTON

Business Name

HALEY H WALTON

Original Issue Date

10/30/2015

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025