NASAAZI MUGISHA LWANGA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

INOPERATIVE

Business

First Name

NASAAZI

Middle

MUGISHA

Last Name

LWANGA

Business Name

NASAAZI MUGISHA LWANGA

Original Issue Date

01/31/2019

Effective Date

01/31/2019

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/18/2019