VANESSA JULIE IGLESIAS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

INOPERATIVE

Business

First Name

VANESSA

Middle

JULIE

Last Name

IGLESIAS

Business Name

VANESSA JULIE IGLESIAS

Original Issue Date

10/21/2016

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

ROSEMONT

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019