DANIEL LUCAS SIGNORELLI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003911

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

LUCAS

Last Name

SIGNORELLI

Business Name

DANIEL LUCAS SIGNORELLI

Original Issue Date

09/29/2010

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022