ANDREW SUPLICKI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

ACTIVE

Business

First Name

ANDREW

Last Name

SUPLICKI

Business Name

ANDREW SUPLICKI

Original Issue Date

11/06/2020

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

HENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025