JACK DENNIS ZANDSTRA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****08

License Status

ACTIVE

Business

First Name

JACK

Middle

DENNIS

Last Name

ZANDSTRA

Business Name

JACK DENNIS ZANDSTRA

Original Issue Date

01/17/2023

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026