MICHAEL PENDERGAST Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

ACTIVE

Business

First Name

MICHAEL

Last Name

PENDERGAST

Business Name

MICHAEL PENDERGAST

Original Issue Date

02/13/2019

Effective Date

01/17/2026

Expiration Date

03/01/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/17/2026