VICTOR L AMBROSIA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

ACTIVE

Business

First Name

VICTOR

Middle

Last Name

AMBROSIA

Business Name

VICTOR L AMBROSIA

Original Issue Date

01/31/2002

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CARY

State

Zip

60013

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025