JAKE PETER MUSASHE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

ACTIVE

Business

First Name

JAKE

Middle

PETER

Last Name

MUSASHE

Business Name

JAKE PETER MUSASHE

Original Issue Date

12/05/2017

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026