VIOLETTA MICKIEWICZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

ACTIVE

Business

First Name

VIOLETTA

Last Name

MICKIEWICZ

Business Name

VIOLETTA MICKIEWICZ

Original Issue Date

02/26/2004

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

KILDEER

State

Zip

60047

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025