BONNIE LANE WOELTJEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

ACTIVE

Business

First Name

BONNIE

Middle

LANE

Last Name

WOELTJEN

Business Name

BONNIE LANE WOELTJEN

Original Issue Date

01/01/2017

Effective Date

01/05/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/05/2026