AUBRI S VENERUSO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

NOT RENEWED

Business

First Name

AUBRI

Middle

Last Name

VENERUSO

Business Name

AUBRI S VENERUSO

Original Issue Date

07/07/2008

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018