DIANA MENDOZA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

DIANA

Last Name

MENDOZA

Business Name

DIANA MENDOZA

Original Issue Date

11/18/2025

Effective Date

02/22/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60639

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/22/2026