ALEXANDRA N LUTOMSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

LUTOMSKI

Business Name

ALEXANDRA N LUTOMSKI

Original Issue Date

10/27/2017

Effective Date

02/08/2022

Expiration Date

03/01/2024

City

SKOKIE

State

Zip

60076

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025