ANGELA RAE WELLS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****15

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

RAE

Last Name

WELLS

Business Name

ANGELA RAE WELLS

Original Issue Date

07/12/2004

Effective Date

02/25/2010

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/20/2015