MATTHEW ALLEN PTACK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006139

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

ALLEN

Last Name

PTACK

Business Name

MATTHEW ALLEN PTACK

Original Issue Date

02/22/2017

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

01/25/2026