ANDREW ROBERT PALENO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

INOPERATIVE

Business

First Name

ANDREW

Middle

ROBERT

Last Name

PALENO

Business Name

ANDREW ROBERT PALENO

Original Issue Date

10/14/2020

Effective Date

01/10/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023