ISAAC O PIMENTEL

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****95

ACTIVE

N

ISAAC

O

PIMENTEL

ISAAC O PIMENTEL

12/19/2006

01/20/2026

03/01/2028

CHICAGO

IL

60611

COOK

II III IV V

N

01/20/2026