WENDY TAYLOR OWEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

WENDY

Middle

TAYLOR

Last Name

OWEN

Business Name

WENDY TAYLOR OWEN

Original Issue Date

01/20/2006

Effective Date

01/20/2006

Expiration Date

03/01/2008

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/23/2007