FAITH LAUREEN VILLAMAR MANCOL 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

FAITH LAUREEN

Middle

VILLAMAR

Last Name

MANCOL

Business Name

FAITH LAUREEN VILLAMAR MANCOL

Original Issue Date

03/18/2022

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026