Samantha R Wennerberg

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

085003989

Status

Expired (Not Renewed)

First issued

February 8, 2011

Expired

March 1, 2012

License holder

Samantha R Wennerberg

Entity type

Individual

Classifications

• Licensed Physician Assistant Physicians & Surgeons

More from the license record

Current term began

02/08/2011

Other Illinois licenses under this name

• IL
  Samantha R Wennerberg

  License 38*****70

  Physician Assistant Controlled Substance
  Expired

  Peoria, IL

  Expired Mar 1, 2012

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