License Directory

Matthew Waggoner

Active

Illinois license 065041233

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
065041233
Status
Active
First issued
April 24, 2013
Expires
September 30, 2027
License holder
Matthew Waggoner
Entity type
Individual

Classifications

More from the license record

Current term began
09/28/2024

Other Illinois licenses under this name

  • IL
    Matthew Waggoner
    License 085010341
    Licensed Physician Assistant
    Active
    Dundee, MI
    Expires Mar 1, 2028
  • IL
    Matthew Waggoner
    License 38*****06
    Physician Assistant Controlled Substance
    Active
    Rock Island, IL
    Expires Mar 1, 2028

Contact

Gurnee, IL 60031
Lake County