LIMARIZ REBOLLEDO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

ACTIVE

Business

First Name

LIMARIZ

Last Name

REBOLLEDO

Business Name

LIMARIZ REBOLLEDO

Original Issue Date

11/18/2024

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

MORTON GROVE

State

Zip

60053

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026