MARTA ZELENA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

NOT RENEWED

Business

First Name

MARTA

Last Name

ZELENA

Business Name

MARTA ZELENA

Original Issue Date

12/09/2015

Effective Date

03/03/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2023