ADAM ROBERT DZIEDZIC Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

ACTIVE

Business

First Name

ADAM

Middle

ROBERT

Last Name

DZIEDZIC

Business Name

ADAM ROBERT DZIEDZIC

Original Issue Date

07/26/2011

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60631

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/07/2026