IGNACIA CAVIEDES BONILLA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

INOPERATIVE

Business

First Name

IGNACIA

Last Name

CAVIEDES BONILLA

Business Name

IGNACIA CAVIEDES BONILLA

Original Issue Date

07/18/2022

Effective Date

07/18/2022

Expiration Date

03/01/2024

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

12/06/2023