ROSALVA ACOSTA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****53

License Status

ACTIVE

Business

First Name

ROSALVA

Last Name

ACOSTA

Business Name

ROSALVA ACOSTA

Original Issue Date

01/24/2002

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025