ANA MICHELLE MENDOZA LOPEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

ACTIVE

Business

First Name

ANA

Middle

MICHELLE

Last Name

MENDOZA LOPEZ

Business Name

ANA MICHELLE MENDOZA LOPEZ

Original Issue Date

12/11/2024

Effective Date

01/23/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/23/2026