TEJUANA T GROOMS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****52

License Status

ACTIVE

Business

First Name

TEJUANA

Middle

Last Name

GROOMS

Business Name

TEJUANA T GROOMS

Original Issue Date

09/22/2009

Effective Date

02/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/22/2026