CARL R SCHICKERLING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

NOT RENEWED

Business

First Name

CARL

Middle

Last Name

SCHICKERLING

Prefix

Business Name

CARL R SCHICKERLING

Original Issue Date

10/16/2018

Effective Date

10/16/2018

Expiration Date

03/01/2020

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020