KATHERINE ANN CAZILAS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

INOPERATIVE

Business

First Name

KATHERINE

Middle

ANN

Last Name

CAZILAS

Business Name

KATHERINE ANN CAZILAS

Original Issue Date

11/13/2015

Effective Date

02/23/2018

Expiration Date

03/01/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

12/18/2019