DE ANGELA MINTER 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

DE ANGELA

Last Name

MINTER

Business Name

DE ANGELA MINTER

Original Issue Date

10/15/2021

Effective Date

01/06/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025