THOMAS DANIEL MARYNIAK 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

THOMAS

Middle

DANIEL

Last Name

MARYNIAK

Business Name

THOMAS DANIEL MARYNIAK

Original Issue Date

03/22/2013

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

BLOOMINGTON

State

Zip

61704

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/27/2026