JACKSON PALENICK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

ACTIVE

Business

First Name

JACKSON

Last Name

PALENICK

Business Name

JACKSON PALENICK

Original Issue Date

07/14/2025

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

HOMEWOOD

State

Zip

60430

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025