ILARIA OLIVER MASTROSERIO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007206

License Status

NOT RENEWED

Business

First Name

ILARIA

Middle

OLIVER

Last Name

MASTROSERIO

Business Name

ILARIA OLIVER MASTROSERIO

Original Issue Date

08/15/2019

Effective Date

01/06/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

02/05/2025