BIANCA ALEXIS LOPEZ

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****24

ACTIVE

N

BIANCA

ALEXIS

LOPEZ

BIANCA ALEXIS LOPEZ

12/05/2024

01/19/2026

03/01/2028

AURORA

IL

60504

KANE

II III IV V

N

01/19/2026