ANAA C WIPACHIT - Physician Assistant License in Illinois | # 085002686

ANAA C WIPACHIT

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002686

License Status

NOT RENEWED

Business

N

First Name

ANAA

Middle

C

Last Name

WIPACHIT

Business Name

ANAA C WIPACHIT

Original Issue Date

02/09/2006

Effective Date

03/04/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

12/22/2015