JORDAN ANTHONY FRUCHEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006365

License Status

ACTIVE

Business

First Name

JORDAN

Middle

ANTHONY

Last Name

FRUCHEY

Business Name

JORDAN ANTHONY FRUCHEY

Original Issue Date

09/26/2017

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

12/15/2025