ROBERT WIMMER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

ACTIVE

Business

First Name

ROBERT

Last Name

WIMMER

Business Name

ROBERT WIMMER

Original Issue Date

08/14/2001

Effective Date

02/21/2024

Expiration Date

03/01/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025