SEEMA R MAMTORA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

ACTIVE

Business

First Name

SEEMA

Middle

Last Name

MAMTORA

Business Name

SEEMA R MAMTORA

Original Issue Date

09/07/2011

Effective Date

12/11/2025

Expiration Date

03/01/2028

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2025