ANA DIANE DEETER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

ACTIVE

Business

First Name

ANA

Middle

DIANE

Last Name

DEETER

Business Name

ANA DIANE DEETER

Original Issue Date

10/01/2025

Effective Date

03/24/2026

Expiration Date

03/01/2028

City

NORTHBROOK

State

Zip

60062

County

COOK

Delegated Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

03/24/2026