JIMMY L WALKER JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002474

License Status

NOT RENEWED

Business

First Name

JIMMY

Middle

Last Name

WALKER

Suffix

Business Name

JIMMY L WALKER JR

Original Issue Date

04/20/2005

Effective Date

02/27/2018

Expiration Date

03/01/2020

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/24/2020