JAMIE LACHETA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

INOPERATIVE

Business

First Name

JAMIE

Last Name

LACHETA

Business Name

JAMIE LACHETA

Original Issue Date

02/04/2021

Effective Date

02/04/2021

Expiration Date

03/01/2022

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022