SAMUEL FELICIANO MORALES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

FELICIANO

Last Name

MORALES

Business Name

SAMUEL FELICIANO MORALES

Original Issue Date

07/22/2014

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018