TOM BOZZAY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****58

License Status

NOT RENEWED

Business

First Name

TOM

Last Name

BOZZAY

Business Name

TOM BOZZAY

Original Issue Date

11/06/2006

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014