BRIAN WYNALDA - Physician Assistant License in Illinois | # 085008799

BRIAN WYNALDA

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008799

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

01/16/2026