JARED MATHEW GRZANICH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

ACTIVE

Business

First Name

JARED

Middle

MATHEW

Last Name

GRZANICH

Business Name

JARED MATHEW GRZANICH

Original Issue Date

02/22/2008

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

CANTON

State

Zip

61520

County

FULTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2026