THOMAS JAMES ZASTROW Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

JAMES

Last Name

ZASTROW

Business Name

THOMAS JAMES ZASTROW

Original Issue Date

03/03/2021

Effective Date

01/09/2022

Expiration Date

03/01/2024

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025