JAMIE FOUNG ANTICEVICH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

ACTIVE

Business

First Name

JAMIE

Middle

FOUNG

Last Name

ANTICEVICH

Business Name

JAMIE FOUNG ANTICEVICH

Original Issue Date

02/25/2016

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

HANOVER PARK

State

Zip

60133

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026