ALEXANDRA SURMAN LEMBITZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

SURMAN

Last Name

LEMBITZ

Business Name

ALEXANDRA SURMAN LEMBITZ

Original Issue Date

08/29/2017

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025