BONNIE LANE WOELTJEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006025

License Status

ACTIVE

Business

First Name

BONNIE

Middle

LANE

Last Name

WOELTJEN

Business Name

BONNIE LANE WOELTJEN

Original Issue Date

09/30/2016

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2026