JORDAN ANTHONY FRUCHEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

ACTIVE

Business

First Name

JORDAN

Middle

ANTHONY

Last Name

FRUCHEY

Business Name

JORDAN ANTHONY FRUCHEY

Original Issue Date

07/16/2018

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/15/2025