TEDJITOU MARTIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****02

License Status

ACTIVE

Business

First Name

TEDJITOU

Last Name

MARTIN

Business Name

TEDJITOU MARTIN

Original Issue Date

07/23/2007

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

BERWYN

State

Zip

60402

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2026