AMY LYNN WENZELBURGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002671

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

WENZELBURGER

Business Name

AMY LYNN WENZELBURGER

Original Issue Date

12/06/2005

Effective Date

12/06/2005

Expiration Date

03/01/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

04/23/2008