ELIZABETH A CIENNIK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

ACTIVE

Business

First Name

ELIZABETH

Middle

Last Name

CIENNIK

Business Name

ELIZABETH A CIENNIK

Original Issue Date

09/19/2018

Effective Date

02/05/2026

Expiration Date

03/01/2028

City

LAKE FOREST

State

Zip

60045

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026