WENDY S DAVIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****73

License Status

NOT RENEWED

Business

First Name

WENDY

Middle

Last Name

DAVIS

Business Name

WENDY S DAVIS

Original Issue Date

01/06/2006

Effective Date

01/06/2006

Expiration Date

03/01/2008

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/05/2009