REBECCA RENAE WALZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****72

License Status

ACTIVE

Business

First Name

REBECCA

Middle

RENAE

Last Name

WALZ

Business Name

REBECCA RENAE WALZ

Original Issue Date

12/15/2025

Effective Date

12/15/2025

Expiration Date

03/01/2028

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/15/2025