REBECCA ELISE WIENER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005599

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

ELISE

Last Name

WIENER

Business Name

REBECCA ELISE WIENER

Original Issue Date

08/20/2015

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022