JENNIFER LEE SEEGICHETLA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

LEE

Last Name

SEEGICHETLA

Business Name

JENNIFER LEE SEEGICHETLA

Original Issue Date

01/06/2023

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60654

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2026