ANTHONY PANGALLO Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

INOPERATIVE

Business

First Name

ANTHONY

Last Name

PANGALLO

Business Name

ANTHONY PANGALLO

Original Issue Date

10/01/2024

Effective Date

10/01/2024

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025