STEPHANIE PEREZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****89

License Status

ACTIVE

Business

First Name

STEPHANIE

Last Name

PEREZ

Business Name

STEPHANIE PEREZ

Original Issue Date

12/07/2021

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/10/2025