ELIZABETH ANN WALSH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****62

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

WALSH

Business Name

ELIZABETH ANN WALSH

Original Issue Date

10/10/2017

Effective Date

01/11/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025