MATTHEW BRENNER-JEDWABNIK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

ACTIVE

Business

First Name

MATTHEW

Last Name

BRENNER-JEDWABNIK

Business Name

MATTHEW BRENNER-JEDWABNIK

Original Issue Date

07/30/2021

Effective Date

01/29/2026

Expiration Date

03/01/2028

City

BURR RIDGE

State

Zip

60527

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/29/2026