MARY VALENTINA SZPUR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

INOPERATIVE

Business

First Name

MARY

Middle

VALENTINA

Last Name

SZPUR

Business Name

MARY VALENTINA SZPUR

Original Issue Date

08/12/2004

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022