TAJA LANIECE THOMPSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

ACTIVE

Business

First Name

TAJA

Middle

LANIECE

Last Name

THOMPSON

Business Name

TAJA LANIECE THOMPSON

Original Issue Date

11/12/2025

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/27/2026