SHANI AYANNA WILSON - Physician Assistant License in Illinois | # 085009356

SHANI AYANNA WILSON

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009356

License Status

ACTIVE

Business

N

First Name

SHANI

Middle

AYANNA

Last Name

WILSON

Business Name

SHANI AYANNA WILSON

Original Issue Date

10/31/2022

Effective Date

04/15/2024

Expiration Date

03/01/2026

State

IL

Ever Disciplined

N

LastModifiedDate

12/03/2025