NAOMI NADINE JOHNSON WAI Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

INOPERATIVE

Business

First Name

NAOMI

Middle

NADINE JOHNSON

Last Name

WAI

Business Name

NAOMI NADINE JOHNSON WAI

Original Issue Date

08/20/2007

Effective Date

02/21/2012

Expiration Date

03/01/2014

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/28/2015