MELISSA M PIZZIMENTI 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

MELISSA

Middle

Last Name

PIZZIMENTI

Business Name

MELISSA M PIZZIMENTI

Original Issue Date

02/02/2021

Effective Date

02/02/2021

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022