EMILY VASCONCELLES

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****89

ACTIVE

N

EMILY

VASCONCELLES

EMILY VASCONCELLES

11/28/2023

01/15/2026

03/01/2028

ORLAND PARK

IL

60467

COOK

II III IV V

N

01/15/2026