HANNAH VICTORIA WEST Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

INOPERATIVE

Business

First Name

HANNAH

Middle

VICTORIA

Last Name

WEST

Business Name

HANNAH VICTORIA WEST

Original Issue Date

02/03/2017

Effective Date

01/15/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022