AMY D WEIERMAN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

INOPERATIVE

Business

First Name

AMY

Middle

Last Name

WEIERMAN

Business Name

AMY D WEIERMAN

Original Issue Date

09/30/2008

Effective Date

03/02/2012

Expiration Date

03/01/2014

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

11/20/2015