JESSICA LYNN BOUDOS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

ACTIVE

Business

First Name

JESSICA

Middle

LYNN

Last Name

BOUDOS

Business Name

JESSICA LYNN BOUDOS

Original Issue Date

11/29/2004

Effective Date

01/09/2026

Expiration Date

03/01/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/09/2026