JOHN CHARLES WODYNSKI JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004265

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

CHARLES

Last Name

WODYNSKI

Suffix

Business Name

JOHN CHARLES WODYNSKI JR

Original Issue Date

01/04/2012

Effective Date

02/19/2014

Expiration Date

03/01/2016

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016