JONATHAN MARTIN LENICH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

MARTIN

Last Name

LENICH

Business Name

JONATHAN MARTIN LENICH

Original Issue Date

12/02/2022

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025