SARA K ZIDLICKY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

NOT RENEWED

Business

First Name

SARA

Middle

Last Name

ZIDLICKY

Business Name

SARA K ZIDLICKY

Original Issue Date

10/30/2007

Effective Date

01/19/2022

Expiration Date

03/01/2024

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025