Phillip Wayne Blaich

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085003348

Status

Expired (Not Renewed)

First issued

October 7, 2008

Expired

March 1, 2014

License holder

Phillip Wayne Blaich

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

01/09/2012

Other Illinois licenses under this name

• IL
  Phillip Wayne Blaich

  License 38*****31

  Physician Assistant Controlled Substance
  Expired

  Expired Mar 1, 2014

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