MARIBEL CORRAL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

ACTIVE

Business

First Name

MARIBEL

Last Name

CORRAL

Business Name

MARIBEL CORRAL

Original Issue Date

11/14/2007

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60608

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/04/2025