STEPHANIE ANN CAJA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

INOPERATIVE

Business

First Name

STEPHANIE

Middle

ANN

Last Name

CAJA

Business Name

STEPHANIE ANN CAJA

Original Issue Date

10/06/2017

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

HARVEY

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019