GEISY DEL CARMEN SANZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

GEISY

Middle

DEL CARMEN

Last Name

SANZ

Business Name

GEISY DEL CARMEN SANZ

Original Issue Date

01/10/2019

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022