JACOB JONATHAN WHITE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

ACTIVE

Business

First Name

JACOB

Middle

JONATHAN

Last Name

WHITE

Business Name

JACOB JONATHAN WHITE

Original Issue Date

08/14/2015

Effective Date

02/25/2026

Expiration Date

03/01/2028

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

02/25/2026