WILLIAM JOHN HIATT 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

WILLIAM

Middle

JOHN

Last Name

HIATT

Business Name

WILLIAM JOHN HIATT

Original Issue Date

10/07/2021

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

MORTON GROVE

State

Zip

60053

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2026