ALEXANDRA D VIGILANTE CHAMBERLIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

Last Name

VIGILANTE CHAMBERLIN

Business Name

ALEXANDRA D VIGILANTE CHAMBERLIN

Original Issue Date

10/25/2013

Effective Date

12/06/2023

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60614

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025