IDALIA ZOFIA ZACHARA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

ACTIVE

Business

First Name

IDALIA

Middle

ZOFIA

Last Name

ZACHARA

Business Name

IDALIA ZOFIA ZACHARA

Original Issue Date

01/08/2024

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026