ALIZABETH G N VAN WIEREN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

ACTIVE

Business

First Name

ALIZABETH

Middle

G N

Last Name

VAN WIEREN

Business Name

ALIZABETH G N VAN WIEREN

Original Issue Date

02/14/2019

Effective Date

02/18/2026

Expiration Date

03/01/2028

City

DES PLAINES

State

Zip

60016

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/18/2026