NATHANIEL LEE POZNIAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

NOT RENEWED

Business

First Name

NATHANIEL

Middle

LEE

Last Name

POZNIAK

Business Name

NATHANIEL LEE POZNIAK

Original Issue Date

07/25/2006

Effective Date

07/25/2006

Expiration Date

03/01/2008

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

12/11/2007