CASSANDRA BASAK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

ACTIVE

Business

First Name

CASSANDRA

Last Name

BASAK

Business Name

CASSANDRA BASAK

Original Issue Date

04/20/2019

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

MOKENA

State

Zip

60448

County

WILL

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

12/03/2025