ANAMARTA LAMOUTTE MARTINEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

ACTIVE

Business

First Name

ANAMARTA

Middle

LAMOUTTE

Last Name

MARTINEZ

Business Name

ANAMARTA LAMOUTTE MARTINEZ

Original Issue Date

05/19/2022

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

MELROSE PARK

State

Zip

60160

County

COOK

Delegated Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/28/2026