ANNE M WARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

Last Name

WARD

Business Name

ANNE M WARD

Original Issue Date

03/23/2001

Effective Date

02/27/2018

Expiration Date

03/01/2020

City

HAZEL CREST

State

Zip

60429

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020