PHUC NHOC GIN

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****86

ACTIVE

N

PHUC

NHOC

GIN

PHUC NHOC GIN

09/26/2025

02/18/2026

03/01/2028

GURNEE

IL

60031

LAKE

II III IV V

N

02/18/2026