KETJONA DELI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008146

License Status

ACTIVE

Business

First Name

KETJONA

Last Name

DELI

Business Name

KETJONA DELI

Original Issue Date

01/22/2021

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/07/2026