KENNETH JACK PADILLA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009294

License Status

ACTIVE

Business

First Name

KENNETH

Middle

JACK

Last Name

PADILLA

Business Name

KENNETH JACK PADILLA

Original Issue Date

10/18/2022

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

SCHAUMBURG

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

12/04/2025