TIMOTHY PETER WOMBACHER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

PETER

Last Name

WOMBACHER

Business Name

TIMOTHY PETER WOMBACHER

Original Issue Date

01/23/2015

Effective Date

12/08/2025

Expiration Date

03/01/2028

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/08/2025