BRITTANY NICOLE WACLAW Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****42

License Status

ACTIVE

Business

First Name

BRITTANY

Middle

NICOLE

Last Name

WACLAW

Business Name

BRITTANY NICOLE WACLAW

Original Issue Date

07/28/2015

Effective Date

01/15/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60657

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026