DANIEL LUCAS SIGNORELLI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****45

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

LUCAS

Last Name

SIGNORELLI

Business Name

DANIEL LUCAS SIGNORELLI

Original Issue Date

12/22/2010

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

MELROSE PARK

State

Zip

60160

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022