JACLYN BOEHM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

ACTIVE

Business

First Name

JACLYN

Last Name

BOEHM

Business Name

JACLYN BOEHM

Original Issue Date

07/02/2025

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

MORTON GROVE

State

Zip

60053

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025