BRANDON WILLIAM BALTZ

Business Entity
ACTIVE

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****73

ACTIVE

N

BRANDON

WILLIAM

BALTZ

BRANDON WILLIAM BALTZ

09/19/2025

02/27/2026

03/01/2028

LOMBARD

IL

60148

DUPAGE

II III IV V

N

02/27/2026