EVAN MICHAEL WHITENACK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

INOPERATIVE

Business

First Name

EVAN

Middle

MICHAEL

Last Name

WHITENACK

Business Name

EVAN MICHAEL WHITENACK

Original Issue Date

05/16/2016

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019