STEFANI JOY HAGGLUND 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

STEFANI

Middle

JOY

Last Name

HAGGLUND

Business Name

STEFANI JOY HAGGLUND

Original Issue Date

09/04/2015

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/26/2026