LEONEL RODRIGUEZ MUSTELIER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

ACTIVE

Business

First Name

LEONEL

Last Name

RODRIGUEZ MUSTELIER

Business Name

LEONEL RODRIGUEZ MUSTELIER

Original Issue Date

12/06/2024

Effective Date

01/24/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2026