MARIAM ANN AZIZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005735

License Status

NOT RENEWED

Business

First Name

MARIAM

Middle

ANN

Last Name

AZIZ

Business Name

MARIAM ANN AZIZ

Original Issue Date

11/16/2015

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

09/13/2022