AMY LYNN WENZELBURGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

WENZELBURGER

Business Name

AMY LYNN WENZELBURGER

Original Issue Date

01/09/2006

Effective Date

01/09/2006

Expiration Date

03/01/2008

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/16/2007