GRACE MARY ZINTAK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

INOPERATIVE

Business

First Name

GRACE

Middle

MARY

Last Name

ZINTAK

Business Name

GRACE MARY ZINTAK

Original Issue Date

07/24/2018

Effective Date

02/03/2022

Expiration Date

03/01/2024

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023