ANGELINA GARCILAZO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

ACTIVE

Business

First Name

ANGELINA

Last Name

GARCILAZO

Business Name

ANGELINA GARCILAZO

Original Issue Date

01/05/2023

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

ST CHARLES

State

Zip

60174

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026