JEROME LAURENCE WILSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001943

License Status

ACTIVE

Business

First Name

JEROME

Middle

LAURENCE

Last Name

WILSON

Business Name

JEROME LAURENCE WILSON

Original Issue Date

12/02/2002

Effective Date

12/19/2025

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

12/19/2025