JEREMY ADAM HOUTAKKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

ACTIVE

Business

First Name

JEREMY

Middle

ADAM

Last Name

HOUTAKKER

Business Name

JEREMY ADAM HOUTAKKER

Original Issue Date

11/06/2007

Effective Date

12/12/2025

Expiration Date

03/01/2028

City

HARVARD

State

Zip

60033

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2025