STEVIE NICOLE FUNK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

ACTIVE

Business

First Name

STEVIE

Middle

NICOLE

Last Name

FUNK

Business Name

STEVIE NICOLE FUNK

Original Issue Date

04/06/2016

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/15/2025