ILANA MICHELLE VANCE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

NOT RENEWED

Business

First Name

ILANA

Middle

MICHELLE

Last Name

VANCE

Business Name

ILANA MICHELLE VANCE

Original Issue Date

08/12/2019

Effective Date

01/06/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60647

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025