AMY D WEIERMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003299

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

WEIERMAN

Business Name

AMY D WEIERMAN

Original Issue Date

09/05/2008

Effective Date

03/02/2012

Expiration Date

03/01/2014

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

11/20/2015