GODA ORENTAITE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

ACTIVE

Business

First Name

GODA

Last Name

ORENTAITE

Business Name

GODA ORENTAITE

Original Issue Date

11/16/2022

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2026