DANIELLE E GOMEZ 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

DANIELLE

Middle

Last Name

GOMEZ

Prefix

Business Name

DANIELLE E GOMEZ

Original Issue Date

12/04/2020

Effective Date

12/18/2025

Expiration Date

03/01/2028

City

EVANSTON

State

Zip

60201

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/18/2025