CHRISTOPHER CHARLES SZCZESNIAK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

INOPERATIVE

Business

First Name

CHRISTOPHER

Middle

CHARLES

Last Name

SZCZESNIAK

Business Name

CHRISTOPHER CHARLES SZCZESNIAK

Original Issue Date

10/31/2012

Effective Date

01/13/2014

Expiration Date

03/01/2016

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

11/10/2015