KENNETH JACK PADILLA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

ACTIVE

Business

First Name

KENNETH

Middle

JACK

Last Name

PADILLA

Business Name

KENNETH JACK PADILLA

Original Issue Date

11/28/2022

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

SCHAUMBURG

State

Zip

60195

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025