LEAH KRISTINA PETRAK 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

LEAH

Middle

KRISTINA

Last Name

PETRAK

Business Name

LEAH KRISTINA PETRAK

Original Issue Date

08/29/2022

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2026