TARA EVE DORDEK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

ACTIVE

Business

First Name

TARA

Middle

EVE

Last Name

DORDEK

Business Name

TARA EVE DORDEK

Original Issue Date

09/17/2019

Effective Date

03/17/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2026