EKCHHANAK L ROSENKRANZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

NOT RENEWED

Business

First Name

EKCHHANAK

Middle

Last Name

ROSENKRANZ

Business Name

EKCHHANAK L ROSENKRANZ

Original Issue Date

11/30/2018

Effective Date

12/18/2019

Expiration Date

03/01/2022

City

WINFIELD

State

Zip

60190

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022