ALFONSO VALDIVIA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

ACTIVE

Business

First Name

ALFONSO

Last Name

VALDIVIA

Business Name

ALFONSO VALDIVIA

Original Issue Date

03/13/2026

Effective Date

03/13/2026

Expiration Date

03/01/2028

City

ELGIN

State

Zip

60123

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026