MAYLINE CORDOVA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

INOPERATIVE

Business

First Name

MAYLINE

Last Name

CORDOVA

Business Name

MAYLINE CORDOVA

Original Issue Date

05/06/2021

Effective Date

05/01/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60602

County

COOK

Ever Disciplined

LastModifiedDate

12/03/2025