MICHAEL WAYNE KING - Physician Assistant License in Illinois | # 085001200

MICHAEL WAYNE KING

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001200

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Middle

WAYNE

Last Name

KING

Business Name

MICHAEL WAYNE KING

Original Issue Date

02/05/1999

Effective Date

01/24/2020

Expiration Date

03/01/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022