BREE ANN DALLINGA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006864

License Status

NOT RENEWED

Business

First Name

BREE

Middle

ANN

Last Name

DALLINGA

Business Name

BREE ANN DALLINGA

Original Issue Date

12/05/2018

Effective Date

12/18/2019

Expiration Date

03/01/2022

City

WHEATON

State

Zip

60189

Ever Disciplined

LastModifiedDate

07/27/2022