ANDREW R PRELLETZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

ACTIVE

Business

First Name

ANDREW

Middle

Last Name

PRELLETZ

Business Name

ANDREW R PRELLETZ

Original Issue Date

07/22/2016

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

LINDENHURST

State

Zip

60046

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/25/2026