FAITH LAUREEN VILLAMAR MANCOL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008655

License Status

ACTIVE

Business

First Name

FAITH LAUREEN

Middle

VILLAMAR

Last Name

MANCOL

Business Name

FAITH LAUREEN VILLAMAR MANCOL

Original Issue Date

10/04/2021

Effective Date

12/31/2025

Expiration Date

03/01/2028

City

ROMEOVILLE

State

Zip

60446

Ever Disciplined

LastModifiedDate

12/31/2025