JON DARREN WILSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004141

License Status

NOT RENEWED

Business

First Name

JON

Middle

DARREN

Last Name

WILSON

Business Name

JON DARREN WILSON

Original Issue Date

09/20/2011

Effective Date

03/03/2014

Expiration Date

03/01/2016

City

MARANA

State

Zip

85658

Ever Disciplined

LastModifiedDate

04/25/2016