NATALIA M WAZ - Physician Assistant License in Illinois | # 085004197

NATALIA M WAZ

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004197

License Status

NOT RENEWED

Business

N

First Name

NATALIA

Middle

M

Last Name

WAZ

Business Name

NATALIA M WAZ

Original Issue Date

10/12/2011

Effective Date

01/06/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022