MARY JEAN MENDIZABAL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****10

License Status

ACTIVE

Business

First Name

MARY

Middle

JEAN

Last Name

MENDIZABAL

Business Name

MARY JEAN MENDIZABAL

Original Issue Date

11/28/2007

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

DES PLAINES

State

Zip

60016

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025