JOSEPH JAMES WANGERIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004662

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

JAMES

Last Name

WANGERIN

Business Name

JOSEPH JAMES WANGERIN

Original Issue Date

05/15/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

04/25/2016