JULIANNE E WONG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004333

License Status

NOT RENEWED

Business

First Name

JULIANNE

Middle

Last Name

WONG

Business Name

JULIANNE E WONG

Original Issue Date

07/02/2012

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022