JAYME LEE PHILLIPS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

ACTIVE

Business

First Name

JAYME

Middle

LEE

Last Name

PHILLIPS

Business Name

JAYME LEE PHILLIPS

Original Issue Date

12/18/2016

Effective Date

02/11/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/11/2026