DARCY ITUARTE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007023

License Status

NOT RENEWED

Business

First Name

DARCY

Last Name

ITUARTE

Business Name

DARCY ITUARTE

Original Issue Date

04/02/2019

Effective Date

12/30/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

07/27/2022