LAUREN AGOSTINACCHIO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

ACTIVE

Business

First Name

LAUREN

Last Name

AGOSTINACCHIO

Business Name

LAUREN AGOSTINACCHIO

Original Issue Date

05/24/2021

Effective Date

02/14/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2026