LINDSAY MARIE BLAZEK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

LINDSAY

Middle

MARIE

Last Name

BLAZEK

Business Name

LINDSAY MARIE BLAZEK

Original Issue Date

07/22/2015

Effective Date

02/12/2026

Expiration Date

03/01/2028

City

MAYWOOD

State

Zip

60153

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/12/2026