ANGELA RAE WELLS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001924

License Status

INACTIVE

Business

First Name

ANGELA

Middle

RAE

Last Name

WELLS

Business Name

ANGELA RAE WELLS

Original Issue Date

10/28/2002

Effective Date

02/25/2010

Expiration Date

03/01/2012

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

11/20/2015