ANTONIYA EVGENIEVA GOSPODINOVA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

ACTIVE

Business

First Name

ANTONIYA

Middle

EVGENIEVA

Last Name

GOSPODINOVA

Business Name

ANTONIYA EVGENIEVA GOSPODINOVA

Original Issue Date

07/05/2024

Effective Date

03/11/2026

Expiration Date

03/01/2028

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026