SUSAN TERESE GOMEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

ACTIVE

Business

First Name

SUSAN

Middle

TERESE

Last Name

GOMEZ

Business Name

SUSAN TERESE GOMEZ

Original Issue Date

03/03/2011

Effective Date

02/19/2026

Expiration Date

03/01/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/19/2026