LAUREN ASHLEY ZAUCHA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

ASHLEY

Last Name

ZAUCHA

Business Name

LAUREN ASHLEY ZAUCHA

Original Issue Date

11/01/2019

Effective Date

02/05/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022