JOHN CHARLES WODYNSKI JR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

INOPERATIVE

Business

First Name

JOHN

Middle

CHARLES

Last Name

WODYNSKI

Suffix

Business Name

JOHN CHARLES WODYNSKI JR

Original Issue Date

02/21/2012

Effective Date

02/19/2014

Expiration Date

03/01/2016

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

02/17/2016