DEBRA LYNN WILSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001398

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

LYNN

Last Name

WILSON

Business Name

DEBRA LYNN WILSON

Original Issue Date

06/22/2000

Effective Date

03/03/2010

Expiration Date

03/01/2012

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

12/08/2015