ADAM ANTHONY MIETUS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

ACTIVE

Business

First Name

ADAM

Middle

ANTHONY

Last Name

MIETUS

Business Name

ADAM ANTHONY MIETUS

Original Issue Date

04/14/2016

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

TINLEY PARK

State

Zip

60477

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2025