STACEY LINN WADDINGTON 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

STACEY LINN

Last Name

WADDINGTON

Business Name

STACEY LINN WADDINGTON

Original Issue Date

09/05/2008

Effective Date

01/01/2026

Expiration Date

03/01/2028

City

SHELBY

State

Zip

62565

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/01/2026