MARK ROMAN GLADSHTEYN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010954

License Status

ACTIVE

Business

First Name

MARK

Middle

ROMAN

Last Name

GLADSHTEYN

Business Name

MARK ROMAN GLADSHTEYN

Original Issue Date

11/25/2024

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/28/2026