JULIANNE E WONG Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

INOPERATIVE

Business

First Name

JULIANNE

Middle

Last Name

WONG

Business Name

JULIANNE E WONG

Original Issue Date

09/10/2012

Effective Date

02/20/2020

Expiration Date

03/01/2022

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

01/03/2022