NATALIA M WAZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004197

License Status

NOT RENEWED

Business

First Name

NATALIA

Middle

Last Name

WAZ

Business Name

NATALIA M WAZ

Original Issue Date

10/12/2011

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022