MAUREEN Q WYNNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

NOT RENEWED

Business

First Name

MAUREEN

Middle

Last Name

WYNNE

Business Name

MAUREEN Q WYNNE

Original Issue Date

12/23/2013

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

HICKORY HILLS

State

Zip

60457

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022