LEN WOLF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000170

License Status

NOT RENEWED

Business

First Name

LEN

Last Name

WOLF

Business Name

LEN WOLF

Original Issue Date

02/01/1981

Effective Date

02/01/1981

Expiration Date

02/01/1985

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006