KEVIN J WILSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000488

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

WILSON

Business Name

KEVIN J WILSON

Original Issue Date

02/20/1992

Effective Date

02/08/2024

Expiration Date

03/01/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/03/2025