JASON MICHAEL VAWTER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

ACTIVE

Business

First Name

JASON

Middle

MICHAEL

Last Name

VAWTER

Business Name

JASON MICHAEL VAWTER

Original Issue Date

08/31/2022

Effective Date

01/28/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025