RITA A WOLLENSCHLAGER

Business Entity
NOT RENEWED

Physician Assistant

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

38*****53

NOT RENEWED

N

RITA A

WOLLENSCHLAGER

RITA A WOLLENSCHLAGER

08/14/2001

04/04/2012

03/01/2014

DOWNERS GROVE

IL

60515

DUPAGE

N

12/24/2015