ANDREW GARRETT WEGENER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****61

License Status

INOPERATIVE

Business

First Name

ANDREW

Middle

GARRETT

Last Name

WEGENER

Business Name

ANDREW GARRETT WEGENER

Original Issue Date

05/21/2015

Effective Date

05/21/2015

Expiration Date

03/01/2016

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/21/2016