JORDAN MARK CZAJKA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****95

License Status

INOPERATIVE

Business

First Name

JORDAN

Middle

MARK

Last Name

CZAJKA

Business Name

JORDAN MARK CZAJKA

Original Issue Date

09/26/2019

Effective Date

01/03/2024

Expiration Date

03/01/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

12/03/2025