Phillip Wayne Blaich
ExpiredIllinois license 38*****31
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****31
- Status
- Expired (Not Renewed)
- First issued
- October 7, 2008
- Expired
- March 1, 2014
- License holder
- Phillip Wayne Blaich
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 01/09/2012
Other Illinois licenses under this name
-
IL
ExpiredFairfield, ILExpired Mar 1, 2014
Contact
No address on record.