MARCELLA SANTOS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

NOT RENEWED

Business

First Name

MARCELLA

Last Name

SANTOS

Business Name

MARCELLA SANTOS

Original Issue Date

08/28/2020

Effective Date

02/02/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60610

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025