GREGG W WELLNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000127

License Status

NOT RENEWED

Business

First Name

GREGG W

Last Name

WELLNER

Business Name

GREGG W WELLNER

Original Issue Date

02/01/1981

Effective Date

02/01/1981

Expiration Date

02/01/1985

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006