NAOMI NADINE JOHNSON WAI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002973

License Status

NOT RENEWED

Business

First Name

NAOMI

Middle

NADINE JOHNSON

Last Name

WAI

Business Name

NAOMI NADINE JOHNSON WAI

Original Issue Date

06/20/2007

Effective Date

01/22/2014

Expiration Date

03/01/2016

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016