ANGELA K IANITELLI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

IANITELLI

Business Name

ANGELA K IANITELLI

Original Issue Date

05/04/2020

Effective Date

02/24/2022

Expiration Date

03/01/2024

City

MELROSE PARK

State

Zip

60160

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025