MARGARET T WALLACH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000299

License Status

NOT RENEWED

Business

First Name

MARGARET T

Last Name

WALLACH

Business Name

MARGARET T WALLACH

Original Issue Date

05/31/1985

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/10/2018