WILLIARD MAZHAWIDZA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

WILLIARD

Last Name

MAZHAWIDZA

Business Name

WILLIARD MAZHAWIDZA

Original Issue Date

07/18/2018

Effective Date

02/26/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/26/2026