REBECCA ELISE WIENER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

INOPERATIVE

Business

First Name

REBECCA

Middle

ELISE

Last Name

WIENER

Business Name

REBECCA ELISE WIENER

Original Issue Date

09/09/2015

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022