VICTOR THOMAS CACERES 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

VICTOR

Middle

THOMAS

Last Name

CACERES

Business Name

VICTOR THOMAS CACERES

Original Issue Date

09/11/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

02/25/2015