LAURA A CIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

ACTIVE

Business

First Name

LAURA

Middle

Last Name

CIN

Business Name

LAURA A CIN

Original Issue Date

06/29/2016

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025