LACEY M CARLS 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

LACEY

Middle

Last Name

CARLS

Business Name

LACEY M CARLS

Original Issue Date

10/23/2009

Effective Date

02/21/2026

Expiration Date

03/01/2028

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/21/2026