STEPHANIE A NUNEZ RILEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004114

License Status

NOT RENEWED

Business

First Name

STEPHANIE A

Middle

NUNEZ

Last Name

RILEY

Business Name

STEPHANIE A NUNEZ RILEY

Original Issue Date

08/29/2011

Effective Date

03/04/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016