SIMON KOLCAJ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

SIMON

Last Name

KOLCAJ

Business Name

SIMON KOLCAJ

Original Issue Date

04/05/2024

Effective Date

02/28/2026

Expiration Date

03/01/2028

City

CLARKSTON

State

Zip

48348

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/28/2026