MARIA LYNN BOZZO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

LYNN

Last Name

BOZZO

Business Name

MARIA LYNN BOZZO

Original Issue Date

03/28/2018

Effective Date

12/27/2019

Expiration Date

03/01/2022

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022