DANIELLE STEILEN-MATIAS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

NOT RENEWED

Business

First Name

DANIELLE

Last Name

STEILEN-MATIAS

Business Name

DANIELLE STEILEN-MATIAS

Original Issue Date

12/24/2012

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

OAK PARK

State

Zip

60301

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022