CARLY MIROWITZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

ACTIVE

Business

First Name

CARLY

Last Name

MIROWITZ

Business Name

CARLY MIROWITZ

Original Issue Date

05/26/2023

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/29/2026