MCKENZIE PAIGE WALZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

ACTIVE

Business

First Name

MCKENZIE

Middle

PAIGE

Last Name

WALZ

Business Name

MCKENZIE PAIGE WALZ

Original Issue Date

09/25/2024

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026