JAMIE MENDOZA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

ACTIVE

Business

First Name

JAMIE

Last Name

MENDOZA

Business Name

JAMIE MENDOZA

Original Issue Date

12/18/2023

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026