JOSEPH KIZHAKKADATHU 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

JOSEPH

Last Name

KIZHAKKADATHU

Business Name

JOSEPH KIZHAKKADATHU

Original Issue Date

09/19/2023

Effective Date

02/08/2026

Expiration Date

03/01/2028

City

WILMETTE

State

Zip

60091

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2026