AUDREY RUTH CHAKONIS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

ACTIVE

Business

First Name

AUDREY

Middle

RUTH

Last Name

CHAKONIS

Business Name

AUDREY RUTH CHAKONIS

Original Issue Date

01/10/2020

Effective Date

03/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60654

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026