DOMINIQUE ROBERTA VEGA ROSAGAS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

ACTIVE

Business

First Name

DOMINIQUE

Middle

ROBERTA VEGA

Last Name

ROSAGAS

Business Name

DOMINIQUE ROBERTA VEGA ROSAGAS

Original Issue Date

09/28/2009

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025