LAURA ANN MAURIZIO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

ANN

Last Name

MAURIZIO

Business Name

LAURA ANN MAURIZIO

Original Issue Date

08/27/2014

Effective Date

02/28/2018

Expiration Date

03/01/2020

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020