MARISA BALDASSANO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

ACTIVE

Business

First Name

MARISA

Last Name

BALDASSANO

Business Name

MARISA BALDASSANO

Original Issue Date

06/26/2024

Effective Date

01/17/2026

Expiration Date

03/01/2028

City

PALATINE

State

Zip

60067

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/17/2026