LOUBABATOU BOUZOU Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

ACTIVE

Business

First Name

LOUBABATOU

Last Name

BOUZOU

Business Name

LOUBABATOU BOUZOU

Original Issue Date

12/27/2019

Effective Date

12/11/2025

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60077

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/11/2025