DUANE M WAMPLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000639

License Status

NOT RENEWED

Business

First Name

DUANE M

Last Name

WAMPLER

Business Name

DUANE M WAMPLER

Original Issue Date

12/19/1994

Effective Date

12/19/1994

Expiration Date

03/01/1996

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/26/2006