TRACI ANN WILKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001988

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

ANN

Last Name

WILKE

Business Name

TRACI ANN WILKE

Original Issue Date

02/20/2003

Effective Date

02/20/2003

Expiration Date

03/01/2004

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006