MARISOL CHIRINOS TITO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

ACTIVE

Business

First Name

MARISOL

Last Name

CHIRINOS TITO

Business Name

MARISOL CHIRINOS TITO

Original Issue Date

07/18/2018

Effective Date

01/03/2026

Expiration Date

03/01/2028

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/03/2026