VINISE ELACKATTU 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

VINISE

Last Name

ELACKATTU

Business Name

VINISE ELACKATTU

Original Issue Date

11/23/2022

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026