JUDITH ANN WAKELAND 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

JUDITH

Middle

ANN

Last Name

WAKELAND

Business Name

JUDITH ANN WAKELAND

Original Issue Date

03/16/2001

Effective Date

01/12/2024

Expiration Date

03/01/2026

City

MONMOUTH

State

Zip

61462

County

WARREN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025