JASON P RADKE 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

JASON

Middle

Last Name

RADKE

Business Name

JASON P RADKE

Original Issue Date

02/05/2007

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025