DAVID ETHAN BROOKS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

ACTIVE

Business

First Name

DAVID

Middle

ETHAN

Last Name

BROOKS

Business Name

DAVID ETHAN BROOKS

Original Issue Date

06/20/2017

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

STERLING

State

Zip

61081

County

WHITESIDE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026