JAKE PETER MUSASHE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006426

License Status

ACTIVE

Business

First Name

JAKE

Middle

PETER

Last Name

MUSASHE

Business Name

JAKE PETER MUSASHE

Original Issue Date

10/27/2017

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/06/2026