CRYSTAL BROZOVICH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

ACTIVE

Business

First Name

CRYSTAL

Last Name

BROZOVICH

Business Name

CRYSTAL BROZOVICH

Original Issue Date

03/11/2024

Effective Date

02/16/2026

Expiration Date

03/01/2028

City

MORRIS

State

Zip

60450

County

GRUNDY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/16/2026