ELIZABETH ROSE PELLEGRINI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ROSE

Last Name

PELLEGRINI

Business Name

ELIZABETH ROSE PELLEGRINI

Original Issue Date

07/21/2017

Effective Date

01/16/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60616

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022