JOEY A WEGMANN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

INOPERATIVE

Business

First Name

JOEY

Middle

Last Name

WEGMANN

Business Name

JOEY A WEGMANN

Original Issue Date

03/05/2001

Effective Date

01/13/2014

Expiration Date

03/01/2016

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/26/2015