SOPHIA LAZZARONI Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

ACTIVE

Business

First Name

SOPHIA

Last Name

LAZZARONI

Business Name

SOPHIA LAZZARONI

Original Issue Date

03/21/2025

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026