NATASHA VICTORIA RODRIGUEZ MANCEBO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007443

License Status

ACTIVE

Business

First Name

NATASHA

Middle

VICTORIA

Last Name

RODRIGUEZ MANCEBO

Business Name

NATASHA VICTORIA RODRIGUEZ MANCEBO

Original Issue Date

11/14/2019

Effective Date

02/21/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

02/21/2026