AMY LENEE CASTILLO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003412

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LENEE

Last Name

CASTILLO

Business Name

AMY LENEE CASTILLO

Original Issue Date

01/21/2009

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018