ETHAN JOHN HOELDTKE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

ACTIVE

Business

First Name

ETHAN

Middle

JOHN

Last Name

HOELDTKE

Business Name

ETHAN JOHN HOELDTKE

Original Issue Date

10/30/2024

Effective Date

01/26/2026

Expiration Date

03/01/2028

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/26/2026