JESSICA R GHEEWALA 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

JESSICA

Middle

Last Name

GHEEWALA

Business Name

JESSICA R GHEEWALA

Original Issue Date

06/30/2025

Effective Date

12/14/2025

Expiration Date

03/01/2028

City

PEKIN

State

Zip

61554

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/14/2025