ANNE MARIE DANICEK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

ACTIVE

Business

First Name

ANNE

Middle

MARIE

Last Name

DANICEK

Business Name

ANNE MARIE DANICEK

Original Issue Date

07/23/2021

Effective Date

01/27/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/27/2026