STEPHANIE ELAINE PEREZ Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

INOPERATIVE

Business

First Name

STEPHANIE

Middle

ELAINE

Last Name

PEREZ

Business Name

STEPHANIE ELAINE PEREZ

Original Issue Date

02/14/2024

Effective Date

02/14/2024

Expiration Date

03/01/2026

City

PEORIA

State

Zip

61614

Ever Disciplined

LastModifiedDate

12/03/2025