KETJONA DELI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

ACTIVE

Business

First Name

KETJONA

Last Name

DELI

Business Name

KETJONA DELI

Original Issue Date

02/10/2021

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/19/2026