ERIKA DETTLO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

ACTIVE

Business

First Name

ERIKA

Last Name

DETTLO

Business Name

ERIKA DETTLO

Original Issue Date

10/02/2025

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

MCHENRY

State

Zip

60050

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2026