KAZANDRA CELINA DIAZ 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

KAZANDRA

Last Name

CELINA DIAZ

Business Name

KAZANDRA CELINA DIAZ

Original Issue Date

09/15/2023

Effective Date

02/14/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

62923

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2026