STEPHANIE MUNOZ 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

STEPHANIE

Last Name

MUNOZ

Business Name

STEPHANIE MUNOZ

Original Issue Date

12/05/2020

Effective Date

01/05/2022

Expiration Date

03/01/2024

City

LA GRANGE

State

Zip

60525

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025