KAZUKO ABE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

NOT RENEWED

Business

First Name

KAZUKO

Last Name

ABE

Business Name

KAZUKO ABE

Original Issue Date

04/25/2016

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60654

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022