ALLIA SUNBULLI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

ACTIVE

Business

First Name

ALLIA

Last Name

SUNBULLI

Business Name

ALLIA SUNBULLI

Original Issue Date

08/12/2024

Effective Date

08/12/2024

Expiration Date

03/01/2026

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025