Samantha R Wennerberg
ExpiredIllinois license 38*****70
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****70
- Status
- Expired (Not Renewed)
- First issued
- February 16, 2011
- Expired
- March 1, 2012
- License holder
- Samantha R Wennerberg
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 02/16/2011
Other Illinois licenses under this name
-
IL
ExpiredLemont, ILExpired Mar 1, 2012
Contact
Peoria, IL 61606
Peoria County