LOIS L WIEMUTH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000089

License Status

NOT RENEWED

Business

First Name

LOIS L

Last Name

WIEMUTH

Business Name

LOIS L WIEMUTH

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

03/01/1992

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006