MARIAM ANN AZIZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

NOT RENEWED

Business

First Name

MARIAM

Middle

ANN

Last Name

AZIZ

Business Name

MARIAM ANN AZIZ

Original Issue Date

08/11/2017

Effective Date

01/22/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022