MICHAEL RICHARD GENIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

RICHARD

Last Name

GENIN

Business Name

MICHAEL RICHARD GENIN

Original Issue Date

09/01/2015

Effective Date

01/12/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/12/2026