MICHELLE ELISE BOUSHKA 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

MICHELLE

Middle

ELISE

Last Name

BOUSHKA

Business Name

MICHELLE ELISE BOUSHKA

Original Issue Date

10/27/2022

Effective Date

01/24/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025