ERIC DALE WOLF Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002583

License Status

ACTIVE

Business

First Name

ERIC DALE

Last Name

WOLF

Business Name

ERIC DALE WOLF

Original Issue Date

09/22/2005

Effective Date

12/04/2025

Expiration Date

03/01/2028

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/04/2025