KATARZYNA B IWANICKI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

ACTIVE

Business

First Name

KATARZYNA

Middle

Last Name

IWANICKI

Business Name

KATARZYNA B IWANICKI

Original Issue Date

12/07/2005

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2026