LEONEL RODRIGUEZ MUSTELIER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010925

License Status

ACTIVE

Business

First Name

LEONEL

Last Name

RODRIGUEZ MUSTELIER

Business Name

LEONEL RODRIGUEZ MUSTELIER

Original Issue Date

11/12/2024

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61636

County

PEORIA

Ever Disciplined

LastModifiedDate

01/23/2026