JENNIFER MARIE WYSONG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005306

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

MARIE

Last Name

WYSONG

Business Name

JENNIFER MARIE WYSONG

Original Issue Date

10/09/2014

Effective Date

01/02/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022