NATALIA M WAZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

NATALIA

Middle

Last Name

WAZ

Business Name

NATALIA M WAZ

Original Issue Date

11/29/2011

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

PARK RIDGE

State

Zip

60068

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022