MAGDALENA AGATA BONCZAK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

ACTIVE

Business

First Name

MAGDALENA

Middle

AGATA

Last Name

BONCZAK

Business Name

MAGDALENA AGATA BONCZAK

Original Issue Date

05/16/2019

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60622

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2026