PHILLIP WAYNE BLAICH
Licensed Physician Assistant
Illinois 085003348 Not Renewed
This Illinois license was held by PHILLIP WAYNE BLAICH. The license is no longer active. It was granted on 10/07/2008 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 085003348
- Category: LICENSED PHYSICIAN ASSISTANT
- Status: Not Renewed
- Date Granted: 10/07/2008 (over 16 years ago)
- Expiry Date: 03/01/2014 (about 11 years ago)
LOCATIONS
A Address
Fairfield, IL 62837