AMY LENEE CASTILLO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LENEE

Last Name

CASTILLO

Business Name

AMY LENEE CASTILLO

Original Issue Date

07/08/2009

Effective Date

02/23/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60651

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018