MATTHEW FRANCIS BLAZO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

ACTIVE

Business

First Name

MATTHEW

Middle

FRANCIS

Last Name

BLAZO

Business Name

MATTHEW FRANCIS BLAZO

Original Issue Date

11/16/2025

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026