ELLIOTT MARTIN DEASON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

ACTIVE

Business

First Name

ELLIOTT

Middle

MARTIN

Last Name

DEASON

Business Name

ELLIOTT MARTIN DEASON

Original Issue Date

03/16/2026

Effective Date

03/16/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/16/2026