ALEXA MICHELLE WUNDERLICH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

ACTIVE

Business

First Name

ALEXA

Middle

MICHELLE

Last Name

WUNDERLICH

Business Name

ALEXA MICHELLE WUNDERLICH

Original Issue Date

10/08/2023

Effective Date

12/10/2025

Expiration Date

03/01/2028

City

WESTMONT

State

Zip

60559

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/24/2025