STACEY KAY VILIONE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

ACTIVE

Business

First Name

STACEY

Middle

KAY

Last Name

VILIONE

Business Name

STACEY KAY VILIONE

Original Issue Date

02/02/2012

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025