MAUREEN Q WYNNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004838

License Status

NOT RENEWED

Business

First Name

MAUREEN

Middle

Last Name

WYNNE

Business Name

MAUREEN Q WYNNE

Original Issue Date

09/24/2013

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

HICKORY HILLS

State

Zip

60457

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022