WAYNE THOMAS WING - Physician Assistant License in Illinois | # 085001600

WAYNE THOMAS WING

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001600

License Status

INACTIVE

Business

N

First Name

WAYNE

Middle

THOMAS

Last Name

WING

Business Name

WAYNE THOMAS WING

Original Issue Date

07/12/2001

Effective Date

01/25/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

12/22/2015