MARCELLA SANTOS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007744

License Status

NOT RENEWED

Business

First Name

MARCELLA

Last Name

SANTOS

Business Name

MARCELLA SANTOS

Original Issue Date

06/10/2020

Effective Date

01/20/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60610

Ever Disciplined

LastModifiedDate

02/05/2025