JON JAMES MIRABITO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

ACTIVE

Business

First Name

JON

Middle

JAMES

Last Name

MIRABITO

Business Name

JON JAMES MIRABITO

Original Issue Date

11/20/2018

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

BOLINGBROOK

State

Zip

60440

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025