ARQUETTE CANDY WADE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

NOT RENEWED

Business

First Name

ARQUETTE

Middle

CANDY

Last Name

WADE

Business Name

ARQUETTE CANDY WADE

Original Issue Date

08/29/2007

Effective Date

02/25/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

03/24/2016