AMY MARIE WILLSON - Physician Assistant License in Illinois | # 085002650

AMY MARIE WILLSON

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002650

License Status

INACTIVE

Business

N

First Name

AMY

Middle

MARIE

Last Name

WILLSON

Business Name

AMY MARIE WILLSON

Original Issue Date

11/02/2005

Effective Date

02/17/2010

Expiration Date

03/01/2012

State

IL

Ever Disciplined

N

LastModifiedDate

12/08/2015