BRIAN WYNALDA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008799

License Status

ACTIVE

Business

First Name

BRIAN

Last Name

WYNALDA

Business Name

BRIAN WYNALDA

Original Issue Date

01/03/2022

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

01/16/2026