WAYNE C ANDERSON - Physician Assistant License in Illinois | # 085000002

WAYNE C ANDERSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000002

License Status

NOT RENEWED

Business

N

First Name

WAYNE C

Last Name

ANDERSON

Business Name

WAYNE C ANDERSON

Original Issue Date

11/05/1976

Effective Date

11/05/1976

Expiration Date

11/05/1978

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006