GRISELDA HERNANDEZ RAHMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

NOT RENEWED

Business

First Name

GRISELDA

Middle

HERNANDEZ

Last Name

RAHMAN

Business Name

GRISELDA HERNANDEZ RAHMAN

Original Issue Date

08/23/2007

Effective Date

01/04/2022

Expiration Date

03/01/2024

City

SUMMIT

State

Zip

60501

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025