ELIZABETH GARTLAND BAZZETTA 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

ELIZABETH

Middle

GARTLAND

Last Name

BAZZETTA

Business Name

ELIZABETH GARTLAND BAZZETTA

Original Issue Date

10/30/2013

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026