MARTHA MERZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007544

License Status

NOT RENEWED

Business

First Name

MARTHA

Last Name

MERZ

Business Name

MARTHA MERZ

Original Issue Date

02/05/2020

Effective Date

02/05/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60625

Ever Disciplined

LastModifiedDate

07/27/2022