GRACE ELIZABETH PODUCH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

ACTIVE

Business

First Name

GRACE

Middle

ELIZABETH

Last Name

PODUCH

Business Name

GRACE ELIZABETH PODUCH

Original Issue Date

11/06/2025

Effective Date

11/06/2025

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60644

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025