MARIANA RACOVITA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

ACTIVE

Business

First Name

MARIANA

Last Name

RACOVITA

Business Name

MARIANA RACOVITA

Original Issue Date

09/27/2022

Effective Date

02/06/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60660

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025