RITA A WOLLENSCHLAGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000375

License Status

NOT RENEWED

Business

First Name

RITA A

Last Name

WOLLENSCHLAGER

Business Name

RITA A WOLLENSCHLAGER

Original Issue Date

10/17/1996

Effective Date

03/26/2012

Expiration Date

03/01/2014

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

12/24/2015