GABRIELLA MARIE DEMARCO Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

INACTIVE

Business

First Name

GABRIELLA

Middle

MARIE

Last Name

DEMARCO

Business Name

GABRIELLA MARIE DEMARCO

Original Issue Date

05/13/2021

Effective Date

01/14/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2022