JOANNE MARIE CELENZA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

INOPERATIVE

Business

First Name

JOANNE

Middle

MARIE

Last Name

CELENZA

Business Name

JOANNE MARIE CELENZA

Original Issue Date

04/12/2001

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/08/2013