MARK ROMAN GLADSHTEYN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

ACTIVE

Business

First Name

MARK

Middle

ROMAN

Last Name

GLADSHTEYN

Business Name

MARK ROMAN GLADSHTEYN

Original Issue Date

01/16/2025

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2026