ANAA C WIPACHIT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002686

License Status

NOT RENEWED

Business

First Name

ANAA

Middle

Last Name

WIPACHIT

Business Name

ANAA C WIPACHIT

Original Issue Date

02/09/2006

Effective Date

03/04/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

12/22/2015