MICHELLE A HANZELY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

INOPERATIVE

Business

First Name

MICHELLE

Middle

Last Name

HANZELY

Business Name

MICHELLE A HANZELY

Original Issue Date

04/23/2003

Effective Date

02/29/2012

Expiration Date

03/01/2014

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

11/14/2013