JACOB RILEY HAYLES Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

ACTIVE

Business

First Name

JACOB

Middle

RILEY

Last Name

HAYLES

Business Name

JACOB RILEY HAYLES

Original Issue Date

02/06/2024

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026