ROKSOLANA ZADERETSKII Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

NOT RENEWED

Business

First Name

ROKSOLANA

Last Name

ZADERETSKII

Business Name

ROKSOLANA ZADERETSKII

Original Issue Date

08/20/2018

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

NAPERVILLE

State

Zip

60540

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022