RAYMOND W WINEBLAD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000090

License Status

NOT RENEWED

Business

First Name

RAYMOND W

Last Name

WINEBLAD

Business Name

RAYMOND W WINEBLAD

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1984

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006