JANINE ROSE SULAVIK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

ACTIVE

Business

First Name

JANINE

Middle

ROSE

Last Name

SULAVIK

Business Name

JANINE ROSE SULAVIK

Original Issue Date

02/08/2021

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/31/2025